Individual
LAUREN ELKA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9701 LANDMARK PARKWAY DR STE 207, SAINT LOUIS, MO 63127
(314) 849-8700
Mailing address
7135 AMHERST AVE # 1, UNIVERSITY CITY, MO 63130-2311
(314) 440-2858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018040350
MO
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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