Council, Martha Laurin

Council, Martha Laurin is an individual health care provider with primary practice located at 969 N Mason Rd Div Im Dermatology, Ste 200, Saint Louis MO 63141-6282. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Council, Martha Laurin can be contacted via phone (314) 273-3376.

Contact Information

Primary practice address
969 N Mason Rd Div Im Dermatology, Ste 200 Saint Louis MO 63141-6282
Phone: (314) 273-3376
Fax: (866) 422-3017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2005037588 Missouri
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2005037588 Missouri

Profile Details

NPI number 1245432244
LBN Legal business name Council, Martha Laurin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Apr 25th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245432244 NPPES
Missouri MEDICAID 204145908

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