Individual provider · Type 1 NPI

Laurie L. Fajardo, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1033107982 Active

Practice location

510 S Kingshighway Blvd
St. Louis, MO 63110-1016

Call (314) 362-7200 Map

Fax (314) 747-4189

Mailing address

660 S Euclid Ave, Cb 8131
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2019036512 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1033107982

Laurie L. Fajardo, MD's National Provider Identifier is 1033107982, issued on Oct 13, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Oct 26, 2021.