Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 050528 | CT |
N | 111NI0900X | Internist | 050528 | CT |
Y | 207RG0300X | Geriatric Medicine | 050528 | CT |
NPI | 1073763017 |
---|---|
Provider Name | Dr. Lina Maria Toledo-Franco |
First Address | Saint Louis, MO 63110-2520 |
Second Address | Saint Louis, MO 63104-1016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2008 |
Last Update Date | 12/03/2021 |