| NPI | 1639531148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK J LAMBERT Nurse Practitioner/Owner 636-288-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2015008642) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-09-29 |