LISA DE LAS FUENTES

SAINT LOUIS, MO
NPI1407890841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MO  2000160333)
Enumeration Date2006-06-16
Last Update Date2025-04-17
Business Address
Dr. LISA DE LAS FUENTES MD
12634 OLIVE BLVD DIV IM CARDIOLOGY
SAINT LOUIS, MO 63141-6337
Phone number: 314-362-1291
Mailing Address
Dr. LISA DE LAS FUENTES MD
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-362-1291