Individual
DR. LORI DEROSEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463
(314) 877-0589
(314) 877-0575
Mailing address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463
(314) 877-0589
(314) 877-5777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R9B93
MO
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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