Individual
DR. VEDA E LEWIS-SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM MHA LLC
Contact information
Practice address
475 BROOKHAVEN CT, O FALLON, MO 63368-9632
(314) 323-0669
Mailing address
475 BROOKHAVEN CT, O FALLON, MO 63368-9632
(314) 323-0669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
772
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08232038
COMMERCIAL
MO
01
—
110194
COMMERCIAL
MO
01
—
205061
COMMERCIAL
IL
01
—
2708700
COMMERCIAL
MO
05
—
308725209
—
MO
01
—
32420
COMMERCIAL
MO
01
—
333503
COMMERCIAL
MO
01
—
480023937
COMMERCIAL
MO
01
—
50302
COMMERCIAL
MO
01
—
5316557
COMMERCIAL
MO
Enumeration date
11/24/2006
Last updated
11/05/2015
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