Healthcare Provider Details

I. General information

NPI: 1376714410
Provider Name (Legal Business Name): VERONICA INES LUZZI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERONICA INES ANDRISANI

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4940 PARKVIEW PL WOHL CLINIC - ROOM 6602
SAINT LOUIS MO
63110-1025
US

IV. Provider business mailing address

660 S EUCLID AVE # 8046
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-3516
  • Fax:
Mailing address:
  • Phone: 314-362-3516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: