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
Phone: (314) 273-3376
Fax: (888) 665-8309
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265812184 | NPPES |
| Missouri | MEDICAID | 200135208 |
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