Individual
LAUREN DENISE LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4588 PARKVIEW PL, SAINT LOUIS, MO 63110-1029
(586) 295-8496
Mailing address
10706 LANTERN RD, APT 2201, FISHERS, IN 46038-3119
(586) 295-8496
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
2016014409
MO
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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