Organization
LRVS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA LEE STOLLEY (PRACTICE ADMINISTRATOR)
(314) 504-6032
Entity
Organization
Contact information
Practice address
1224 GRAHAM RD, SUITE 2003, FLORISSANT, MO 63031-8028
(314) 504-6032
(314) 831-0988
Mailing address
1224 GRAHAM RD, SUITE 2003, FLORISSANT, MO 63031-8028
(314) 504-6032
(314) 831-0988
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R8127
MO
Other
Enumeration date
03/02/2007
Last updated
09/07/2010
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