Individual
LAURA ELIZABETH O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2527
(314) 741-0911
(314) 741-0501
Mailing address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2527
(314) 741-0911
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2022011256
MO
363L00000X
Nurse Practitioner
Primary
2022011256
MO
363LA2100X
Acute Care Nurse Practitioner
2022011256
MO
Other
Enumeration date
02/23/2022
Last updated
09/30/2025
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