Individual
LAUREN H BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 768-8360
Mailing address
617 N ROCK HILL RD, SAINT LOUIS, MO 63119-1348
(314) 704-5607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003824
IL
363A00000X
Physician Assistant
1730496001
MO
Other
Enumeration date
09/08/2010
Last updated
02/26/2018
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