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1093269003
LAKESIDE BEHAVIORAL HEALTH, LLC
SAINT LOUIS, MO
NPI
1093269003
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Entity Type
Organization
Authorized Contact
ASHOK YANAMADALA
Psychiatrist
314-930-3520
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2016-08-08
Last Update Date
2019-08-19
Business Address
LAKESIDE BEHAVIORAL HEALTH, LLC
4121 UNION RD SUITE 201
SAINT LOUIS, MO 63129-1070
Phone number: 314-930-3520
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Mailing Address
LAKESIDE BEHAVIORAL HEALTH, LLC
4121 UNION RD STE 201
SAINT LOUIS, MO 63129-1070
Phone number:
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