Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2018010234 | MO |
NPI | 1043500416 |
---|---|
Provider Name | Lauren Rhae Draper |
First Address | St. Louis, MO 63104 |
Second Address | St. Louis, MO 63104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 18/01/2021 |