Individual
WALKER LEE SHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(618) 926-9352
Mailing address
3919 ROLAND BLVD, SAINT LOUIS, MO 63121-2517
(618) 926-9352
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2025029114
MO
Other
Enumeration date
12/30/2018
Last updated
08/11/2025
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