NPI

Lisa Carroll

NPI 1083083182

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2015-09-18
Last updated
2015-09-18

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Specialties

Licenses

License MO
2013011413

Location

Practice location
141 N Meramec Ave, Suite 109
City
Clayton MO
Postal code
63105-3750
Phone
(773) 980-6962

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Clayton, MO. 542 records in the public file.

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