ST LOUIS UNIVERSITY NPI 1083832364

NPI Information

  • NPI: 1083832364
  • Provider Name: ST LOUIS UNIVERSITY
  • Classification: Otolaryngology - 207YP0228X
  • Specialization: Pediatric Otolaryngology
  • Entity Type: Organization
  • Doing Business As: SLUCARE DEPT OF OTOLARYNGOLOGY-PEDIATRIC
  • Address: 1465 S GRAND BLVD
    SAINT LOUIS, MO
    ZIP 63104
  • Phone: (314) 577-5650

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NPI Details

ST LOUIS UNIVERSITY is a pediatric otolaryngology otolaryngology in Saint Louis, MO. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. ST LOUIS UNIVERSITY NPI is 1083832364. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Slucare Dept Of Otolaryngology-pediatric.

The provider's business location address is:

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 577-5650

The provider's authorized official is Alyce Lanxon .
The authorized official title is Executive Director and has the following contact phone number (314) 977-6828.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YP0228XOtolaryngologyPediatric OtolaryngologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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