Individual provider · Type 1 NPI

Lydia L. Harris, PA

Physician Assistant · St. Louis, MO

NPI number 1861386476 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6339 Map

Fax (314) 251-4564

Mailing address

1591 Highland Valley Cir
Wildwood, MO 63005-4263

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2025032287 (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 1861386476

Lydia L. Harris, PA's National Provider Identifier is 1861386476, issued on Jun 6, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 20, 2025.