Individual
LISA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
615 S NEW BALLAS RD, CREVE COEUR, MO 63141-8221
(314) 991-7230
Mailing address
918 LEGENDS VIEW DR, EUREKA, MO 63025-3600
(636) 549-3464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007019311
MO
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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