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NPI Code Detail

MEDICARE: LAUREN K SUMMERS ANP

MEDICARE: LAUREN K SUMMERS ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2016000446MO

General Provider Information

NPI Number : 1659735777
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN K SUMMERS ANP
Provider Business Mailing Address
First Line : 3023 N BALLAS RD STE 150D
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2319
Country : US
Telephone Number : 314-996-5287
Fax Number : 314-996-4271
Provider Business Practice Location Address
First Line : 3023 N BALLAS RD STE 150D
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2319
Country : US
Telephone Number : 314-996-5287
Fax Number : 314-432-6068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 06/02/2026

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Directions to “ LAUREN K SUMMERS ANP” Practice Location

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