Quenby Lea Erickson in Saint Louis - Dermatology
Quenby Lea Erickson - NPI 1558356410
Quenby Lea Erickson is a Dermatology in Saint Louis, Missouri. Quenby Lea Erickson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Quenby Lea Erickson is 1558356410. The last update date is 2012-01-06.
Quenby Lea Erickson's current location address is 4100 Laclede Ave, Saint Louis, Missouri. You can contact this provider via phone number 6182567572 and fax number 6182567629. The mailing address for Quenby Lea Erickson is 4100 Laclede Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Quenby Lea Erickson |
|---|---|
| Address | 4100 Laclede Ave, Saint Louis, Missouri |
| Phone Number | 6182567572 |
| Fax Number | 6182567629 |
| Sole Proprietor | N |
| Credentials | D.O |
NPI Number Detail
| NPI Number | 1558356410 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
| Address | 4100 Laclede Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631082851 |
| Phone Number | 6182567572 |
| Fax Number | 6182567629 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 02002378A |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identification code assigned to Quenby Lea Erickson by the Centers for Medicare & Medicaid Services?
The Quenby Lea Erickson has been issued the NPI (National Provider Identifier) 1558356410, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Quenby Lea Erickson is physically located?
The Quenby Lea Erickson is physically situated at the following address: 4100 Laclede Ave, Saint Louis, MO, 631082851.
What is the Quenby Lea Erickson's specialty and taxonomy code?
The Quenby Lea Erickson's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the Quenby Lea Erickson receive the assignment of its 1558356410 from the Centers for Medicare & Medicaid Services?
The Quenby Lea Erickson was issued its 1558356410 by the Centers for Medicare & Medicaid Services on 2005-09-16.
As of what date was the information regarding Quenby Lea Erickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Quenby Lea Erickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-06.
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