Dr. Martha Laurin Council
Dermatologist MOHS-Micrographic Surgeon
969 N Mason Rd Div Im Dermatology, Ste 200
Saint Louis
, Missouri 63141-6282
Dr. Martha Laurin Council
Dermatologist MOHS-Micrographic Surgeon
969 N Mason Rd Div Im Dermatology, Ste 200
Saint Louis
, Missouri 63141-6282
(314) 454-4232
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Martha Laurin Council
- 660 S Euclid Ave Cb 8123
- Saint Louis, MO
- Zip : 63110-1010
- Fax : (314) 454-4232
- Phone : (314) 273-3376
Second Address
- Dr. Martha Laurin Council
- 969 N Mason Rd Div Im Dermatology, Ste 200
- Saint Louis, MO
- Zip : 63141-6282
- Fax : (314) 454-4232
- Phone : (314) 273-3376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 2005037588 | MO |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 2005037588 | MO |
National Provider Identifier
| NPI | 1245432244 |
|---|---|
| Provider Name | Dr. Martha Laurin Council |
| First Address | Saint Louis, MO 63110-1010 |
| Second Address | Saint Louis, MO 63141-6282 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2007 |
| Last Update Date | 15/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 204145908 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.