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Contact Information

LLILLY BRISTER LEWIS
3470 HAMPTON AVE
101-B
SAINT LOUIS, MO63139-1946
 Phone: 314-620-7905
 Fax: 314-487-5830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for LLILLY BRISTER LEWIS · (Female)

NPI Number 1184168320
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2016
Last updated 12/07/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 025722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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