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Individual

DR. ALEXANDRE LACASSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.SC.

Contact information

Practice address
6420 CLAYTON RD, MEDICINE OUTPATIENT CLINIC, SAINT LOUIS, MO 63117-1811
(314) 768-8373
Mailing address
6420 CLAYTON RD, DEPARTMENT OF INTERNAL MEDICINE, SAINT LOUIS, MO 63117-1811
(314) 768-8778

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006028227
MO
207R00000X
Internal Medicine Physician
Primary
MD0000042236
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006028227
PHYSICIAN LICENSE
MO
01
302710825
BNDD NUMBER
MO
01
MD0000042236
PHYSICIAN LICENSE
TN
Enumeration date
04/26/2007
Last updated
03/07/2023
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