Mena M Luangjamekorn in Saint Louis - Family Medicine
Mena M Luangjamekorn - NPI 1255320578
Mena M Luangjamekorn is a Family Medicine in Saint Louis, Missouri. Mena M Luangjamekorn practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mena M Luangjamekorn is 1255320578. The last update date is 2012-11-13.
Mena M Luangjamekorn's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 6184637777 and fax number 6184637767. The mailing address for Mena M Luangjamekorn is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mena M Luangjamekorn |
|---|---|
| Address | 670 Mason Ridge Center Dr, Saint Louis, Missouri |
| Phone Number | 6184637777 |
| Fax Number | 6184637767 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255320578 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2012-11-13 |
Provider Mailing Address Detail
| Address | 670 Mason Ridge Center Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418573 |
| Phone Number | 6184637777 |
| Fax Number | 6184637767 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301076196 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4591430 | MI | -- | |
| I07388 | MI | HEALTH ALLIANCE PLAN | |
| 1010621 | MI | HEALTH ADVANTAGE NETWORK | |
| 4619498 | MI | -- | |
| 7450589 | MI | AETNA | |
| 080D410020 | MI | BLUE CROSS BLUE SHIELD | |
| 16492 | MI | MCARE | |
| 080D410020 | MI | BLUE CARE NETWORK | |
| 1010621 | MI | MCLAREN HEALTH PLAN | |
| 802510871 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Mena M Luangjamekorn's unique identification number?
The Mena M Luangjamekorn has been assigned the NPI (National Provider Identifier) Number 1255320578 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mena M Luangjamekorn?
The Mena M Luangjamekorn is situated at 670 Mason Ridge Center Dr, in the city of Saint Louis, state of MO, with the zip code 631418573.
What is Mena M Luangjamekorn's area of expertise and its corresponding taxonomy classification?
The Mena M Luangjamekorn's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Mena M Luangjamekorn receive its 1255320578 assignment?
The Mena M Luangjamekorn was assigned its 1255320578 on 2005-10-19, which is the date when this unique identifier was issued to the organization.
When was the information related to Mena M Luangjamekorn most recently updated or refreshed?
The details pertaining to the Mena M Luangjamekorn, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-13.
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