| NPI | 1184266413 | 
|---|---|
| Doing Business As | SLUCARE | 
| Entity Type | Organization | 
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology | 
| Enumeration Date | 2019-10-08 | 
| Last Update Date | 2021-09-21 |