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Individual

DR. LANESHIA K TAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 454-8917
(314) 747-2200
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-8917
(314) 747-2200

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2014036404
MO
207RP1001X
Pulmonary Disease Physician
Primary
2014036404
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200075175
MO
Enumeration date
03/23/2011
Last updated
07/08/2026
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