Zickuhr, Lisa Ann

Zickuhr, Lisa Ann is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Rheumatology, Ste 5C, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Zickuhr, Lisa Ann can be contacted via phone (314) 286-2635.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Rheumatology, Ste 5C Saint Louis MO 63110-1032
Fax: (314) 286-2338
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2014023582 Missouri

Profile Details

NPI number 1083978886
LBN Legal business name Zickuhr, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Apr 17th, 2025 - about last year

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 1083978886 NPPES
Missouri MEDICAID 200021329

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