Organization · Type 2 NPI
Diabetes Education Augmenting Lifestyles-Center and Clinic, LLC (deal-
Community Health Clinic/Center · St. Louis, MO
NPI number
1942933296
Active
Practice location
3104 Magnolia Ave
St. Louis, MO 63118-1272
Mailing address
3671 Lafayette Ave
St. Louis, MO 63110-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
Community Health Clinic/Center: Definition to come...
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About NPI 1942933296
Diabetes Education Augmenting Lifestyles-Center and Clinic, LLC (deal-'s National Provider Identifier is 1942933296, issued on Jul 5, 2022. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in St. Louis, MO. The record was last updated on Jul 5, 2022.