Organization · Type 2 NPI

ST Louis University

Clinical Genetics (M.D.) Physician · St. Louis, MO

NPI number 1053523845 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 577-5639 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinical Genetics (M.D.) Physician Primary	207SG0201X	None listed

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

572 other providers at this address

NPI record

NPI: 1053523845
Entity type: Organization (Type 2)
Issued: May 4, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

<unavail>
Slucare Dept of Pediatric Clinical Genetics · doing business as
Slucare Dept of Pediatric Clinical Genetics · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

Verify this record

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.

Is this your record? How to update it.

About NPI 1053523845

ST Louis University's National Provider Identifier is 1053523845, issued on May 4, 2007. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.