Healthcare Provider Details

I. General information

NPI: 1346980885
Provider Name (Legal Business Name): DANIEL RICHARD LENGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 LOCUST ST
SAINT LOUIS MO
63103-1411
US

IV. Provider business mailing address

PO BOX 18412
PALATINE IL
60055-0001
US

V. Phone/Fax

Practice location:
  • Phone: 855-751-8879
  • Fax: 833-529-0574
Mailing address:
  • Phone: 855-751-8879
  • Fax: 833-529-0574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2026040649
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: