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Individual

LAAMAR CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
3510 WOODSON RD, SAINT LOUIS, MO 63114-4203
(314) 493-6430
Mailing address
3510 WOODSON RD, SAINT LOUIS, MO 63114-4203
(314) 493-6430

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2011019059
MO
163WG0000X
General Practice Registered Nurse
041.448756
IL

Other

Enumeration date
09/19/2023
Last updated
09/19/2023
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