Organization
CHOICE FLU VACCINATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ANN LANIER (OWNER)
(314) 200-4071
Entity
Organization
Contact information
Practice address
8016 KNIGHTS CROSSING DR, O FALLON, MO 63368-6208
(314) 200-4071
(314) 200-4059
Mailing address
8016 KNIGHTS CROSSING DR, O FALLON, MO 63368-6208
(314) 200-4071
(314) 200-4059
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2017
Last updated
07/21/2022
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