Siegel, Liza Hillary

Siegel, Liza Hillary is an individual health care provider with primary practice located at 1 Childrens Pl Div Im Dermatology, Ste 2A And 2D, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Siegel, Liza Hillary can be contacted via phone (314) 273-3376.

Contact Information

Primary practice address
1 Childrens Pl Div Im Dermatology, Ste 2A And 2D Saint Louis MO 63110-1002
Fax: (888) 665-8309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2022009588 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2022009588 Missouri

Profile Details

NPI number 1265812184
LBN Legal business name Siegel, Liza Hillary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265812184 NPPES
Missouri MEDICAID 200135208

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