Individual
KANDACE LAMONICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
4041 CHOUTEAU AVE APT 324, SAINT LOUIS, MO 63110-1729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125075203
IL
207Q00000X
Family Medicine Physician
318019
NY
Other
Enumeration date
04/08/2019
Last updated
02/16/2024
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