Council, Martha Laurin
Council, Martha Laurin is an individual health care provider with primary practice located at 969 N Mason Rd Div Im Dermatology, Ste 200, Saint Louis MO 63141-6282. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Council, Martha Laurin can be contacted via phone (314) 273-3376.Contact Information
Primary practice address
969 N Mason Rd Div Im Dermatology, Ste 200
Saint Louis MO 63141-6282
Phone: (314) 273-3376
Fax: (866) 422-3017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2005037588 | Missouri |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2005037588 | Missouri |
Profile Details
| NPI number | 1245432244 |
|---|---|
| LBN Legal business name | Council, Martha Laurin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Apr 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245432244 | NPPES |
| Missouri | MEDICAID | 204145908 |
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