Laura C Horn, PAC
Physician Assistant, Surgical in Saint Peters, MO. Individual provider (NPI-1).
NPI number1528041696
StatusActive
Last updated in NPPESJun 9, 2009
Details
- NPI
- 1528041696
- Entity type
- Individual (NPI-1)
- Name
- Laura C Horn
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2005
- Last updated
- Jun 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 207P00000X | Emergency Medicine | 2002028066 | MO |
Practice location
112 Piper Hill DrSuite 9
Saint Peters, MO 63376-1690
Phone 636-441-3444 · Fax 636-926-2858
Mailing address
112 Piper Hill DrSuite 9
Saint Peters, MO 63376-1690
Phone 636-441-3444 · Fax 636-926-2858
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