Individual
LAUREN FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
10004 KENNERLY RD, SUITE 205A, SAINT LOUIS, MO 63128-2141
(314) 525-4327
(314) 525-4368
Mailing address
10004 KENNERLY RD, STE 205A, SAINT LOUIS, MO 63128-2141
(314) 525-4327
(314) 525-4368
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2007001672
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15644057
MEDICARE PTAN #
MO
01
—
2007001672
STATE LICENSE
MO
Enumeration date
09/15/2009
Last updated
03/14/2017
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