Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Louis University

Organization Facial Plastic Surgery Physician · NPI 1023220910

St Louis University is a Facial Plastic Surgery Physician in St. Louis, Missouri. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1225 S Grand Gl Door 3
St. Louis, MO 63104-6310
Phone: (314) 977-5119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3660 Vista Ave, Saint Louis, MO 63110-2540 — (314) 977-5110

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X

Record details

NPI number1023220910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyce Lanxon — Executive Director · (314) 977-6828
Other names Slucare Dept Of Otolaryngology-Facial Plastic Surgery; Slucare Dept Of Otolaryngology-Facial Plastic Surgery
NPI enumeratedMay 4, 2007
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020

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