Individual
DR. LAURA ELAINA HEITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110-1014
(314) 362-9123
(314) 747-3338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011023663
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206547705
—
MO
Enumeration date
05/25/2007
Last updated
04/17/2025
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