IndividualActive
Lenise Cummings-Vaughn, MD
NPI 1336301613 · Geriatric Medicine (Internal Medicine) Physician · Saint Louis, MO
Provider details
- NPI number
- 1336301613
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2010025559 (MO)
Practice location
4921 Parkview Pl
Div Im Geriatrics, Ste 5c
Saint Louis, MO 63110-1032
Phone: (314) 273-4374
Fax: (314) 286-2701
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.