LAURA LY ALLEN


Address: 1011 Bowles Ave Ste 300, Fenton, MO 63026
Phone: 6364965030

LAURA LY ALLEN (NPI# 1760878839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760878839
Entity Type Individual
Full Name LAURA LY ALLEN
Other Name LAURA LY MCMICHAEL
Credential N.P.
Practice Address 1011 Bowles Ave Ste 300
Fenton
MO 63026
Mailing Address Po Box 955534
Saint Louis
MO 63195-5534
Practice Telephone 6364965030
Practice Fax Number 6364965035
Enumeration Date 2015-04-15
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2015009121 MO Physician Assistants & Advanced Practice Nursing Providers

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1700024544 Laura Rae Allen Physical Therapist 16049 Orange Grove Rd., Gulfport, MS 39503 2009-02-02
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1740476969 Laura B Allen Physician Assistant 1618 Millenium Way Ste 100, Meridian, ID 83642-6457 2007-09-20
1831271493 Laura S Allen Nurse Practitioner 310 W Tyler Ave, West Memphis, AR 72301-4225 2006-10-20
1164477394 Laura Hall Allen Radiology 107 W Medical Park Dr, Suite 102, Lexington, NC 27292-6851 2006-05-24
1760469068 Laura Brown Allen Physician Assistant 30 Broad St Fl 45th, New York, NY 10004-2304 2005-12-28
1710593363 Laura Lyn Allen Nurse Practitioner 3152 S Bown Way Ste 102, Boise, ID 83706-5456 2020-09-18
1134732324 Laura Christine Allen Pharmacist 2111 Adams Ave, La Grande, OR 97850-2921 2020-08-26
1487279089 Laura Allen Nurse Practitioner 411 E Chestnut St, Louisville, KY 40202-1713 2020-06-10

Office Location

Street Address 1011 BOWLES AVE STE 300
City FENTON
State MO
Zip Code 63026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144262429 Hari Thanigaraj Srihari Internal Medicine 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 2006-06-12
1548665607 Crystal Pipkens Nurse Practitioner 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 2014-10-30
1790125318 Suman Vaddi Internal Medicine 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 2013-06-27
1336589118 Pratibha Mary Abraham Internal Medicine 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 2013-06-26
1326485897 Aaron Bornstein Surgery 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 2013-05-23
1740543099 Sarah King-glotfelty Pediatrics 1011 Bowles Ave Ste 300, Fenton, MO 63026 2012-06-21
1609072933 Melanie Janette Wahl Internal Medicine 1011 Bowles Ave Ste 300, Fenton, MO 63026 2007-06-24
1801010251 Connie L Hoehn Graves Nurse Practitioner 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 2007-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871000372 Allison Egler Audiologist 1011 Bowles Ave Ste 405, Fenton, MO 63026 2018-01-05
1629508213 Holly Brooks Munson Massage Therapist 220 Copper Mountain Dr, Fenton, MO 63026 2017-06-15
1073978862 Naomi Sharon Nurse Practitioner 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 2015-12-21
1871981704 Celtic Private Care of Il & Mo, LLC In Home Supportive Care 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 2014-12-30
1356747513 Kristina Potts Nurse Practitioner 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 2014-11-14
1245642420 Physicians Health Group Medical Inc General Practice 960 S. Highway Dr, Fenton, MO 63026 2014-05-22
1598047409 Kevin Eugene Bruce Pharmacist 1210 Sugar Creek, Fenton, MO 63026 2011-09-16
1215186382 Concentra Health Services, Inc. Clinic/Center 128 Matrix Commons Dr., Fenton, MO 63026 2008-09-15
1790954410 Castlewood Treatment Center LLC Community/Behavioral Health 1855 Bowles Ave, Suite 210, Fenton, MO 63026 2008-02-27
1073703617 Christina R Baeres Dietitian, Registered 38 Majestic Ct, Fenton, MO 63026 2007-07-30
Find all providers in zip 63026

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528679305 Eriko Apriliando Nurse Practitioner 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 2020-08-13
1902327869 Thomas Richard Schaefer Nurse Practitioner 700 N Leroy St, Fenton, MI 48430-2738 2017-06-30
1104368018 Elaine Marie Zobrist Nurse Practitioner 999 Shadow Pine Dr, Fenton, MO 63026-8312 2016-11-08
1073978862 Naomi Sharon Nurse Practitioner 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 2015-12-21
1821048372 William A Andel Nurse Practitioner 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 2006-05-12
1861920142 Lauren Melissa Beckmann Nurse Practitioner 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 2017-05-31
1477981454 Kathleen Elizabeth Martin Nurse Practitioner 1011 Bowles Ave Ste G50, Fenton, MO 63026-0562 2013-10-29
1558799742 Amanda Nicole Meitz Nurse Practitioner 1011 Bowles Ave, Suite 205, Fenton, MO 63026-2395 2013-10-24
1255568523 Shelly Marie Oles Nurse Practitioner 2420 Owen Rd, Fenton, MI 48430-3417 2009-06-15
1801010251 Connie L Hoehn Graves Nurse Practitioner 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 2007-04-13
Find all providers in FENTON

Competitor

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City FENTON
Zip Code 63026

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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