Healthcare Provider Details

I. General information

NPI: 1124422365
Provider Name (Legal Business Name): LAUREN HOWELL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4918 WEBER RD
SAINT LOUIS MO
63123-5645
US

IV. Provider business mailing address

4918 WEBER RD
SAINT LOUIS MO
63123-5645
US

V. Phone/Fax

Practice location:
  • Phone: 314-353-1477
  • Fax:
Mailing address:
  • Phone: 314-762-8944
  • Fax: 314-631-3060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2014033057
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: