Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 1999135662 | MO |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 1999135662 | MO |
NPI | 1184667529 |
---|---|
Provider Name | Dr. Laura Leigh Meyers |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Chesterfield, MO 63017-5941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204818306 | (05) | MO |
H07300 | (02) |