Organization · Type 2 NPI

ST Louis University

Internal Medicine Physician · St. Louis, MO

NPI number 1013980366 Active

Practice location

1225 South Grand, 2L, Door 3,4
St. Louis, MO 63104

Call (314) 977-6164 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Other practice locations

3660 Vista Ave, St. Louis, MO 63110 · (314) 977-6828

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician Primary	207R00000X	None listed
Nuclear Radiology Physician	2085N0904X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

10 other providers at this address

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NPI record

NPI: 1013980366
Entity type: Organization (Type 2)
Issued: Feb 8, 2006
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Department of Internal Medicine · doing business as
Slucare Department of Internal Medicine · doing business as

Authorized official

Mrs. Alyce Lanxon
Executive Director
(314) 977-6828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013980366

ST Louis University's National Provider Identifier is 1013980366, issued on Feb 8, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.