Individual provider · Type 1 NPI

Lisa De Las Fuentes, MD

Cardiovascular Disease Physician · St. Louis, MO

NPI number 1407890841 Active

Practice location

12634 Olive Blvd, Div Im Cardiology
St. Louis, MO 63141-6337

Call (314) 362-1291 Map

Fax (314) 747-1417

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X2000160333 (MO)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1407890841

Lisa De Las Fuentes, MD's National Provider Identifier is 1407890841, issued on Jun 16, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.