MALLORY LANE HENRY

SAINT LOUIS, MO
NPI1851617526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2013012266)
Enumeration Date2010-04-20
Last Update Date2024-04-25
Business Address
Mrs. MALLORY LANE HENRY PA
1600 S BRENTWOOD BLVD DIV NEUROLOGY GENERAL, STE 600
SAINT LOUIS, MO 63144-1320
Phone number: 314-362-1408
Mailing Address
Mrs. MALLORY LANE HENRY PA
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-1408
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