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

St Louis University

Organization Pediatric Surgery Physician · NPI 1114990454

St Louis University is a Pediatric Surgery Physician in Saint Louis, Missouri. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 977-6828
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X

Record details

NPI number1114990454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyce Lanxon — Executive Director · (314) 977-6828
Other names Slucare Department Of Pediatric Surgery; Slucare Department Of Pediatric Surgery
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJune 21, 2019
Mailing address1831 Chestnut St Ste 650, Saint Louis, MO 63103-2236

Other providers in Saint Louis