LATOYA DEMETRIST LANE

SAINT LOUIS, MO
NPI1902107725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-107524)
Enumeration Date2010-11-10
Last Update Date2015-05-13
Business Address
-- LATOYA DEMETRIST LANE FNP-BC
12101 WOODCREST EXECUTIVE DR SUITE 210
SAINT LOUIS, MO 63141-5047
Phone number: 314-317-0600
Mailing Address
-- LATOYA DEMETRIST LANE FNP-BC
12101 WOODCREST EXECUTIVE DR SUITE 210
SAINT LOUIS, MO 63141-5047
Phone number: 314-317-0600