Individual
MRS. LAUREN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
612 S BALLAS RD STE 6017B, SAINT LOUIS, MO 63122-5315
(314) 251-4659
(314) 251-5715
Mailing address
510 S GORE AVE, SAINT LOUIS, MO 63119-3704
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2020033395
MO
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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