Individual
LAWRENCE E SAMUELS
Active
Individual
LAWRENCE E SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R7821
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125936
HEALTHLINK
MO
01
—
22849
BLUE SHIELD
MO
01
—
2681938001
CIGNA
MO
01
—
32276
GROUP HEALTH PLAN
MO
01
—
4228309
AETNA
MO
01
—
828013496
RAILROAD MEDICARE
MO
01
—
CN5366
RR MEDICARE
MO
01
—
FIRST HEALTH
5226978
MO
01
—
STL0300034
UNITED HEALTHCARE
MO
Enumeration date
09/26/2005
Last updated
01/10/2014
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