Individual
LINDSAY FAIRFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10012 KENNERLY RD STE 406, SAINT LOUIS, MO 63128-2197
(314) 525-1224
(314) 525-4957
Mailing address
10012 KENNERLY RD STE 406, SAINT LOUIS, MO 63128-2197
(314) 525-1224
(314) 525-4957
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01091194A
IN
208600000X
Surgery Physician
036140509
IL
208600000X
Surgery Physician
141098
NC
208600000X
Surgery Physician
4301115451
MI
2086S0102X
Surgical Critical Care Physician
Primary
2022019850
MO
2086S0102X
Surgical Critical Care Physician
70272
WI
Other
Enumeration date
05/24/2007
Last updated
08/08/2024
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