St Louis University

Pediatric Nephrology Physician · Saint Louis, MO

Organization Active NPI

NPI number 1437378205

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone
(314) 577-5662

Open in Google Maps

NPI record

NPI
1437378205
Entity type
Organization (Type 2)
Enumeration date
April 24, 2007
Last updated
September 21, 2021
Certified
September 21, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nephrology Physician Primary 2080P0210X — —

Mailing address

3545 Lindell Blvd Fl 3
Saint Louis, MO 63103-1020
Phone
(314) 977-6828

Authorized official

Name
Alyce Lanxon
Title
Executive Director
Phone
(314) 977-6828

Other names

  • SLUCare Dept of Pediatric Nephrology
  • SLUCare Dept of Pediatric Nephrology

About St Louis University

St Louis University is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Nephrology Physician (code 2080P0210X). The practice location is 1465 S Grand Blvd, Saint Louis, MO 63104-1003. The NPI number 1437378205 was assigned on April 24, 2007 and the record was last updated on September 21, 2021.

The authorized official for this organization is Alyce Lanxon, Executive Director.

Frequently asked questions

What is the NPI number of St Louis University?

The NPI number is 1437378205.

What is the phone number of St Louis University?

The phone number listed for the practice location is (314) 577-5662.

Where is St Louis University located?

1465 S Grand Blvd, Saint Louis, MO 63104-1003.

What is the taxonomy code for St Louis University?

The primary taxonomy code is 2080P0210X – Pediatric Nephrology Physician.

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.

Other Pediatric Nephrology Physician providers in Saint Louis

All Pediatric Nephrology Physician providers in Saint Louis, MO →