Individual
JAY LAWRENCE LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8711 WATSON RD, SUITE 100, SAINT LOUIS, MO 63119-5100
(314) 961-9871
(314) 961-9877
Mailing address
8711 WATSON RD, SUITE 100, SAINT LOUIS, MO 63119-5100
(314) 961-9871
(314) 961-9877
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30759
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200765907
—
MO
01
—
916745640
MEDICARE PTAN
MO
Enumeration date
08/10/2006
Last updated
04/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us