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Individual

LAKEISHA PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AVN

Contact information

Practice address
1851 ARROWPOINT DR, SAINT LOUIS, MO 63138-1515
(314) 308-5219
Mailing address
5843 EAGLE VALLEY DR, SAINT LOUIS, MO 63136-1148
(314) 308-5219

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
2019028291
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420077265
MO
05
830077066
MO
Enumeration date
10/23/2019
Last updated
11/27/2023
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