Individual
MRS. SARA M LUDVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
2016 ELEPHANT WALK, IMPERIAL, MO 63052-2180
(314) 422-5991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017023494
MO
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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