Individual
TAYLOR ASHTON LAVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141-8265
(314) 251-6062
Mailing address
621 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141-8265
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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