Organization
LAKE SAINT LOUIS HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDEN RACE DC (CHIROPRACTIC PHYSICIAN)
(636) 345-8400
Entity
Organization
Contact information
Practice address
11104 VETERANS MEMORIAL PKWY, LAKE SAINT LOUIS, MO 63367-1113
(636) 345-8400
Mailing address
11104 VETERANS MEMORIAL PKWY, LAKE SAINT LOUIS, MO 63367-1113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/07/2020
Last updated
09/22/2020
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