Mrs. MALLORY LANE HENRY PA ⚕️ Missouri 1851617526

NPI	1851617526
Entity Type	Individual
Gender	Female
Sole Proprietor ?	No
Primary Taxonomy	363A00000X Physician Assistant (Licence: MO 2013012266)
Enumeration Date	2010-04-20
Last Update Date	2024-04-25

Mrs. MALLORY LANE HENRY PA

1600 S BRENTWOOD BLVD DIV NEUROLOGY GENERAL, STE 600

SAINT LOUIS, MO 63144-1320

Phone number: 314-362-1408

Mrs. MALLORY LANE HENRY PA

PO BOX 60352

SAINT LOUIS, MO 63160-0352

Phone number: 314-362-1408