Individual
MRS. LISA MARIE SCHUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12255 DEPAUL DRIVE, SUITE 600, BRIDGETON, MO 63044-2515
(314) 209-5100
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2551
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2016037561
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2020002481
MO
Other
Enumeration date
01/22/2020
Last updated
10/27/2020
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