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

Dr. Lisa De las Fuentes, MD

Individual provider Cardiovascular Disease Physician · NPI 1407890841

Dr. Lisa De las Fuentes, MD is a Cardiovascular Disease (Cardiology) in Saint Louis, Missouri. Graduated from Southwestern Homeopathic Medical College and Hospital in 1996, 30 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
30
Trained at
Southwestern Homeopathic Medical College and Hospital
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12634 Olive Blvd Div Im Cardiology
Saint Louis, MO 63141-6337
Phone: (314) 362-1291
Fax: (314) 747-1417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2000160333 (MO)

Record details

NPI number1407890841
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolSOUTHWESTERN HOMEOPATHIC MEDICAL COLLEGE AND HOSPITAL
Graduated 1996 (30 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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