OrganizationActive
St Louis University
NPI 1114139003 · Orthopaedic Trauma Physician · St Louis, MO
Provider details
- NPI number
- 1114139003
- Entity type
- Organization
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alyce Lanxon, Executive Director(314) 977-6828
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1225 South Grand
1l, Door 3,4
St Louis, MO 63104-6310
Phone: (314) 257-3390
Approximate (ZIP-level) locationGet directions
Mailing address
3545 Lindell Blvd Fl 3
Saint Louis, MO 63103-1020
Other names (DBA / former)
- Doing business as
- Slucare Dept of Orthopaedic-Orthopaedic Trauma
- Doing business as
- Slucare Dept of Orthopaedic-Orthopaedic Trauma
Additional practice locations (1)
- 1755 S Grand BlvdSaint Louis, MO 63104-1540Phone: (314) 256-3850
Registry dates
- Enumerated
- 2007-05-04
- 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.