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1174204044
KELLY EILIS LAVIN
SAINT LOUIS, MO
NPI
1174204044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2022045232)
Enumeration Date
2023-07-25
Last Update Date
2024-04-25
Business Address
Ms. KELLY EILIS LAVIN FNP
620 S TAYLOR AVE DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110-1035
Phone number: 314-747-1206
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Mailing Address
Ms. KELLY EILIS LAVIN FNP
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-747-1206
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