Organization
ADVANCE PRACTICE SURGICAL ASSISTING LLC
Active
Organization
ADVANCE PRACTICE SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK LAMBERT NP-C (NURSE PRACTITIONER)
(636) 288-5225
Entity
Organization
Contact information
Practice address
1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
(636) 288-5225
Mailing address
1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
(636) 288-5225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015008642
MO
Other
Enumeration date
03/16/2015
Last updated
04/20/2015
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