Individual
ROBERT LANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 N BALLAS RD, SUITE 105B, SAINT LOUIS, MO 63131-2322
(314) 432-2323
(314) 432-5328
Mailing address
3009 N BALLAS RD, SUITE 105B, SAINT LOUIS, MO 63131-2322
(314) 432-2323
(314) 432-5328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-107507
IL
207X00000X
Orthopaedic Surgery Physician
Primary
R5920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079274
HEALTH ALLIANCE
IL
01
—
0900160
UHC
—
01
—
113209
BCBS OF MO (ANTHEM)
MO
01
—
11991
GROUP HEALTH PLAN
—
01
—
126430
HEALTHLINK, INC.
—
05
—
200540151
—
MO
01
—
2192050002
CIGNA
—
01
—
4071501
AETNA
—
01
—
43092556563080A001
WPS TRICARE
—
01
—
7932006
BCBS OF IL
IL
01
—
A13562
MERCY HEALTH PLANS
—
01
—
P00158785
RR MEDICARE
IL
01
—
P00182423
RR MEDICARE
MO
Enumeration date
01/19/2007
Last updated
04/06/2017
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