Individual
SHALU LAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(347) 392-8247
Mailing address
100 WYNDCREST CT, LAKE ST LOUIS, MO 63367-4368
(347) 392-8247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015020472
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
2020004717
MO
Other
Enumeration date
12/24/2019
Last updated
02/09/2020
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