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NPI Code Detail

MEDICARE: MAUREEN MARIE FOX LAC

MEDICARE: MAUREEN MARIE FOX LAC
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
1171100000XAcupuncturist2008013300MO

General Provider Information

NPI Number : 1528203932
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN MARIE FOX LAC
Provider Business Mailing Address
First Line : 8748 BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3730
Country : US
Telephone Number : 314-918-1555
Fax Number : 314-918-1541
Provider Business Practice Location Address
First Line : 8748 BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3730
Country : US
Telephone Number : 314-918-1555
Fax Number : 314-918-1541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2008
Last Update Date : 12/14/2008

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Directions to “ MAUREEN MARIE FOX LAC” Practice Location

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