LAURA LY ALLEN

FENTON, MO
NPI1760878839
Former NameLAURA LY MCMICHAEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2015009121)
Enumeration Date2015-04-15
Last Update Date2020-10-29
Business Address
LAURA LY ALLEN N.P.
1011 BOWLES AVE STE 300
FENTON, MO 63026
Phone number: 636-496-5030
Mailing Address
LAURA LY ALLEN N.P.
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number: