Individual
LAUREN KATHLEEN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
615 S NEW BALLAS RD, SUITE YG-230, SAINT LOUIS, MO 63141-8221
(314) 251-5399
Mailing address
3412 LEVERENZ DR, SAINT CHARLES, MO 63301-0544
(314) 607-4953
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2005011432
MO
Other
Enumeration date
11/15/2010
Last updated
02/23/2023
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