Individual
LAWRENCE E SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD, 480 NORTH, CHESTERFIELD, MO 63017-3625
(314) 576-7343
(314) 576-7929
Mailing address
222 S WOODS MILL RD, 480 NORTH, CHESTERFIELD, MO 63017-3625
(314) 576-7343
(314) 576-7929
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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