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1407890841
LISA DE LAS FUENTES
SAINT LOUIS, MO
NPI
1407890841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MO 2000160333)
Enumeration Date
2006-06-16
Last Update Date
2024-04-25
Business Address
Dr. LISA DE LAS FUENTES MD
4921 PARKVIEW PL DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110-1032
Phone number: 314-362-1291
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Mailing Address
Dr. LISA DE LAS FUENTES MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-1291
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