Individual
LAURA BAALMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, DEPARTMENT OF PATHOLOGY, SAINT LOUIS, MO 63131-2329
(314) 996-4285
(314) 996-5551
Mailing address
PO BOX 500720, SAINT LOUIS, MO 63150-0720
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2002015959
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208773804
—
MO
Enumeration date
02/23/2006
Last updated
10/23/2012
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