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1336709401
LUCIA GOODWIN BURGESS
SAINT LOUIS, MO
NPI
1336709401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2021036601)
Enumeration Date
2019-06-19
Last Update Date
2022-06-30
Business Address
LUCIA GOODWIN BURGESS MD
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6339
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Mailing Address
LUCIA GOODWIN BURGESS MD
621 S NEW BALLAS RD STE 112A
SAINT LOUIS, MO 63141-8252
Phone number: 314-251-6339
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