Individual
LARA ALLISON MENKE BLOMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Mailing address
5718 SOUTHWEST AVE, SAINT LOUIS, MO 63139-1606
(314) 277-0736
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
2022022020
MO
Other
Enumeration date
07/16/2019
Last updated
11/07/2025
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