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Individual

DR. LISA MARIE SCHROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1465 SOUTH GRAND BLVD. SSM GLENNON CARE -, CARDINAL GLENNON CHILDREN'S MEDICAL CENTER, ST. LOUIS, MO 63104-1095
(314) 577-5600
Mailing address
1465 SOUTH GRAND BLVD. SSM GLENNON CARE -, CARDINAL GLENNON CHILDREN'S MEDICAL CENTER, ST. LOUIS, MO 63104-1095
(314) 577-5600

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
102917
MO

Other

Enumeration date
04/26/2007
Last updated
11/07/2012
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