Organization · Type 2 NPI

ST Louis University

Pediatric Allergy/Immunology Physician · St. Louis, MO

NPI number 1649499401 Active

Practice location

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

Call (314) 268-6406 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatric Allergy/Immunology Physician Primary	2080P0201X	None listed

Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

572 other providers at this address

NPI record

NPI: 1649499401
Entity type: Organization (Type 2)
Issued: Apr 24, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Pediatric Allergy/immunology · doing business as
Slucare Dept of Pediatric Allergy/immunology · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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About NPI 1649499401

ST Louis University's National Provider Identifier is 1649499401, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.