Doctor Name: | MRS. LAUREN RAE KNIGHT |
NPI Number: | 1265862916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 2013030781 |
Business Practice Address: | 2022 Dorsett Vlg Maryland Heights, MO - 630432208 |
Business Phone Number: | 3145900520 |
Business Fax Number: | |
Mailing Address: | 1475 Kisker Rd, SAINT CHARLES |
State: | MO |
Postal Code: | 633048781 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/16/2013 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2013030781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |