List, Larry William

List, Larry William is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Technologists, Technicians & Other Technical Service Providers / Cytotechnology. Technologists, Technicians & Other Technical Service Providers / Cytotechnology is his primary health care specialty. List, Larry William can be contacted via phone (314) 652-4100.

Contact Information

Primary practice address
915 N Grand Blvd Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Technologists, Technicians & Other Technical Service Providers / Cytotechnology 246QC2700X

Profile Details

NPI number 1598277444
LBN Legal business name List, Larry William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - about 7 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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