MEDICARE: ELIZABETH LANHAM 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
1	208000000X	Pediatrics Physician	2500087074	MO

General Provider Information

NPI Number	:	1548881345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LANHAM MD

Provider Business Mailing Address
First Line	:	1 CHILDRENS PL MSC 8116-0043-08
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110
Country	:	US
Telephone Number	:	314-454-4826
Fax Number	:	314-454-4633

Provider Business Practice Location Address
First Line	:	1 CHILDRENS PL MSC 8116-0043-08
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110
Country	:	US
Telephone Number	:	314-454-4826
Fax Number	:	314-454-4633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2020
Last Update Date	:	01/31/2026

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