Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAIRE LORI ANDERSON, MD
DeactivatedGeneral Surgery · ST LOUIS, MO
This NPI has been deactivated.
The record was deactivated on March 1, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1962926311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2017 (0.59452054794521 yrs)
- Last Updated
- Mar 6, 2018
- Deactivated
- Mar 1, 2018
- License
-
2017021157 (MO)
Practice Information
- Address
-
4921 PARKVIEW PLACE STE 8CST LOUIS, MO, 63110Browse MO providers · Browse ZIP 63110
- Phone
- 3147471369
- Fax
- 3143671943
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in ST LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. SAMUEL MARQUEZ | M.D. | 1750380846 |
| PAOLO R SALVALAGGIO | MD | 1336258995 |
| RALPH J GRAFF | MD | 1073617296 |
| DONALD L KAMINSKI | MD | 1194829705 |
| DR. CARRIE LUU | MD | 1083846208 |
| ENES CEVIK | MD | 1013750454 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.