LYLY DANG

CREVE COEUR, MO
NPI1912530163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2019036142)
Enumeration Date2020-02-17
Last Update Date2022-05-28
Business Address
LYLY DANG NP
11560 OLIVE BLVD
CREVE COEUR, MO 63141-7111
Phone number: 314-995-7128
Mailing Address
LYLY DANG NP
11560 OLIVE BLVD
CREVE COEUR, MO 63141-7111
Phone number: 314-995-7128