Individual
MR. LLOYD JOHN VASQUEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8338
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8338
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2017025923
MO
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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