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Individual

DR. LYNN A CORNELIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 FOREST PARK AVE, DIV IM DERMATOLOGY, 6TH FL, SAINT LOUIS, MO 63108-2114
(314) 273-3376
(888) 665-8309
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-3376
(888) 665-8309

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R7F40
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203679527
MO
Enumeration date
07/17/2006
Last updated
04/17/2025
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