LISANDRO ROBERTO FORTUNY

SAINT LOUIS, MO
NPI1104479203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZB0001X Pathology, Blood Banking & Transfusion Medicine
(Licence: IL  036-161400)
Additional Taxonomies207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: MO  2019018934)
207ZC0006X Pathology, Clinical Pathology
(Licence: IL  036-161400)
Enumeration Date2019-07-18
Last Update Date2024-10-29
Business Address
LISANDRO ROBERTO FORTUNY
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-362-5000
Mailing Address
LISANDRO ROBERTO FORTUNY
660 S EUCLID AVE # 8118
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-5000