Etzwiler, Lisa S.

Etzwiler, Lisa S. is an individual health care provider with primary practice located at 621 S New Ballas Rd St. John'S Mercy Medical Center, Suite 6006, Tower B, Creve Coeur MO 63141-8232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Etzwiler, Lisa S. can be contacted via phone (314) 251-6299.

Contact Information

Primary practice address
621 S New Ballas Rd St. John'S Mercy Medical Center, Suite 6006, Tower B Creve Coeur MO 63141-8232
Phone: (314) 251-6299
Fax: (314) 251-4450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 102051 Missouri

Profile Details

NPI number 1740398593
LBN Legal business name Etzwiler, Lisa S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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