Organization
NEPHROLOGY AND HYPERTENSION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LISSA LOPEZ-CONCAGH MD (OWNER)
(314) 991-0137
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD STE 204, CREVE COEUR, MO 63141-6836
(314) 991-0137
Mailing address
PO BOX 840185, KANSAS CITY, MO 64184-0185
(314) 991-0137
(314) 991-0603
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505711804
—
MO
Enumeration date
01/27/2006
Last updated
11/20/2024
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