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St Louis University — NPI 1083832364, Saint Louis, MO | NPI Central

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NPI 1083832364

OrganizationActive

St Louis University

NPI 1083832364 · Pediatric Otolaryngology Physician · Saint Louis, MO

Provider details

NPI number: 1083832364
Entity type: Organization
Primary specialty: Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Alyce Lanxon, Executive Director(314) 977-6828

Specialties & taxonomies

Pediatric Otolaryngology PhysicianPrimary207YP0228X
Allopathic & Osteopathic Physicians

Practice location

1465 S Grand Blvd

Saint Louis, MO 63104-1003

Phone: (314) 577-5650

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

3545 Lindell Blvd Fl 3

Saint Louis, MO 63103-1020

Other names (DBA / former)

Doing business as: Slucare Dept of Otolaryngology-Pediatric
Doing business as: Slucare Dept of Otolaryngology-Pediatric

Registry dates

Enumerated: 2007-04-23
Last updated: 2021-09-21
Certified: 2021-09-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.