LINCOLN DALE HENRY TERRELL

SAINT LOUIS, MO
NPI1902402191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
Mr. LINCOLN DALE HENRY TERRELL CNIM
6642 CLAYTON RD # 403
SAINT LOUIS, MO 63117-1602
Phone number: 636-226-4159
Mailing Address
Mr. LINCOLN DALE HENRY TERRELL CNIM
6642 CLAYTON RD # 403
SAINT LOUIS, MO 63117-1602
Phone number: 636-226-4159