Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 2006010970 | MO |
NPI | 1154432854 |
---|---|
Provider Name | Dr. Laura J Steines |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 16/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I71139 | (02) |