Individual
LAUREN E. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12700 SOUTHFORK RD STE 270, SAINT LOUIS, MO 63128-3201
(314) 843-8222
Mailing address
12700 SOUTHFORK RD STE 270, SAINT LOUIS, MO 63128-3201
(314) 843-8222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022012667
MO
Other
Enumeration date
06/24/2022
Last updated
09/11/2025
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