Individual provider · Type 1 NPI

Lisa Marie Roelle, PA

Physician Assistant · St. Louis, MO

NPI number 1164664116 Active

Practice location

1 Childrens Pl, Div Ped Cardiology
St. Louis, MO 63110-1002

Call (314) 454-6095 Map

Fax (314) 884-6008

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2017037108 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164664116

Lisa Marie Roelle, PA's National Provider Identifier is 1164664116, issued on Apr 6, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 9, 2026.