Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 2016009338 | MO |
NPI | 1316262793 |
---|---|
Provider Name | Jennifer Marie Laplante |
First Address | Saint Louis, MO 63195-5534 |
Second Address | Saint Charles, MO 63301-2882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 05/11/2020 |