Larice, Waleska

Larice, Waleska is an sole proprietor health care provider with primary practice located at 1015 Bowles Ave , Fenton MO 63026. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Larice, Waleska can be contacted via phone (636) 496-2000.

Contact Information

Primary practice address
1015 Bowles Ave Fenton MO 63026
Phone: (636) 496-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2479 Virgin Islands
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036134631 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME117446 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2013020319 Missouri
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2013020319 Missouri

Profile Details

NPI number 1972827830
LBN Legal business name Larice, Waleska
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2010
Last updated Sep 12th, 2018 - about 6 years 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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