Individual
LAUREN LEBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
4610 MOONCREST DR, SAINT LOUIS, MO 63128-2440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015026241
MO
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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