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St Louis University — NPI 1609088590, Saint Louis, MO | NPI Central

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NPI 1609088590

OrganizationActive

St Louis University

NPI 1609088590 · Neurology with Special Qualifications in Child Neurology Physician · Saint Louis, MO

Provider details

NPI number: 1609088590
Entity type: Organization
Primary specialty: Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Alyce Lanxon, Executive Director(314) 977-6828

Specialties & taxonomies

Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402X
Allopathic & Osteopathic Physicians

Practice location

3660 Vista Ave

Saint Louis, MO 63110-2540

Phone: (314) 577-5338

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 Neurology-Child
Doing business as: Slucare Dept of Neurology-Child

Additional practice locations (2)

1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone: (314) 977-6082
1225 South Grand
1l Door 3,4
St Louis, MO 63104-6310
Phone: (314) 257-3390

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.