LISA DALE HENRY

SAINT LOUIS, MO
NPI1528281011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  107570)
Enumeration Date2007-04-11
Last Update Date2022-05-18
Business Address
LISA DALE HENRY APRN,BC
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-2477
Mailing Address
LISA DALE HENRY APRN,BC
270 RIDGE TRAIL DR
CHESTERFIELD, MO 63017-3030
Phone number: 314-454-2477
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