| NPI | 1699168633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK LAMBERT Nurse Practitioner 636-288-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015008642) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-04-20 |