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

St Louis University

Organization MOHS-Micrographic Surgery Physician · NPI 1962624585

St Louis University is an MOHS-Micrographic 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 2L Door 3 4 5
St. Louis, MO 63104
Phone: (314) 977-3400
Show map & directions

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

Additional practice locations (1)

  • 1755 S Grand Blvd, Saint Louis, MO 63104-1540 — (314) 256-3400

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1962624585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyce Lanxon — Executive Director · (314) 977-6828
Other names Slucare Dept Of Dermatology-Mohs Surgery; Slucare Dept Of Dermatology-Mohs Surgery
NPI enumeratedMay 3, 2007
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020