IndividualActive
Andrew Laczniak, MD
NPI 1790064905 · Diagnostic Radiology Physician · Saint Louis, MO
Provider details
- NPI number
- 1790064905
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2016009489 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Approximate (ZIP-level) locationGet directions
Mailing address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2016-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.