Organization · Type 2 NPI

Neuage LSL LLC

Primary Care Clinic/Center · Lake St. Louis, MO

NPI number 1235004904 Active

Practice location

6105 Ronald Reagan Dr
Lake St. Louis, MO 63367-2678

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

About NPI 1235004904

Neuage LSL LLC's National Provider Identifier is 1235004904, issued on Oct 10, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lake St. Louis, MO. The record was last updated on Oct 10, 2025.