Healthcare Provider Details

I. General information

NPI: 1154432854
Provider Name (Legal Business Name): LAURA J STEINES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N GRAND BLVD
SAINT LOUIS MO
63106-1621
US

IV. Provider business mailing address

348 S MAPLE AVE
WEBSTER GROVES MO
63119-3824
US

V. Phone/Fax

Practice location:
  • Phone: 314-289-6410
  • Fax:
Mailing address:
  • Phone: 773-991-0693
  • Fax: 314-747-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number2006010970
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: