Individual
MRS. LINDSEY BLAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 63B, SAINT LOUIS, MO 63141-8232
(314) 983-4700
(314) 692-9862
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004032520
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195930
BLUE CROSS BLUE SHIELD
MO
01
—
691844
HEALTHLINK
MO
Enumeration date
06/25/2006
Last updated
06/25/2008
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