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NPI Code Detail

MEDICARE: LILY ANNA BAER MD

MEDICARE: LILY ANNA BAER MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1336991694
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILY ANNA BAER MD
Provider Business Mailing Address
First Line : 1008 S SPRING AVE STE 1501
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number : 917-664-1012
Fax Number :
Provider Business Practice Location Address
First Line : 1008 S SPRING AVE STE 1501
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number : 314-617-3817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2024
Last Update Date : 04/23/2024

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