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NPI Code Detail

MEDICARE: LORI A EFFLAND NP

MEDICARE: LORI A EFFLAND NP
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
1363LA2200XAdult Health Nurse Practitioner2000167712MO
2363L00000XNurse Practitioner2000167712MO
3363L00000XNurse Practitioner209005424IL

General Provider Information

NPI Number : 1245203272
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI A EFFLAND NP
Provider Business Mailing Address
First Line : PO BOX 955534
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-5534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3023 N BALLAS RD STE 200D
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2328
Country : US
Telephone Number : 314-996-7272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 09/19/2025

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