Laura Alexandria Upton

Dermatology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1093392847

Practice location

1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone
(314) 977-6100

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NPI record

NPI
1093392847
Entity type
Individual (Type 1)
Enumeration date
March 26, 2021
Last updated
March 26, 2021
Certified
March 26, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X TBD MO
Internal Medicine Physician 207R00000X TBD MO

Mailing address

2255 Wisconsin Ave NW Apt 417
Washington, DC 20007-4165
Phone
(321) 604-0034

About Laura Upton

Laura Alexandria Upton is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 1225 S Grand Blvd, Saint Louis, MO 63104-1016. The NPI number 1093392847 was assigned on March 26, 2021 and the record was last updated on March 26, 2021.

Laura Upton lists 2 licenses in the registry: #TBD (MO) for Dermatology Physician; #TBD (MO) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Laura Alexandria Upton?

The NPI number is 1093392847.

What is the phone number of Laura Upton?

The phone number listed for the practice location is (314) 977-6100.

Where is Laura Upton located?

1225 S Grand Blvd, Saint Louis, MO 63104-1016.

What is the taxonomy code for Laura Upton?

The primary taxonomy code is 207N00000X – Dermatology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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