Lake St Louis Dermatology Pc

LBN: Lake St Louis Dermatology Pc
Lake St Louis Dermatology Pc is an health care organization with primary practice located at 300 Medical Plz Mob 2, Suite 210, Lake St Louis MO 63367-1481. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Lake St Louis Dermatology Pc can be contacted via phone (636) 561-0026, or through Canizares-Heyde, Maria J via phone (636) 561-0026.

Contact Information

Primary practice address
300 Medical Plz Mob 2, Suite 210 Lake St Louis MO 63367-1481
Phone: (636) 561-0026
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canizares-Heyde, Maria J Doctor of Medicine (MD)
Phone: (636) 561-0026

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MO2002031471 Missouri

Profile Details

NPI number 1255583746
LBN Legal business name Lake St Louis Dermatology Pc
DBA Doing business as
Authorized official Canizares-Heyde, Maria J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2008
Last updated Feb 11th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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