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Dr. Sharon Leslie Samson, DC
Chiropractor in Lake St Louis, Missouri
NPI 1508817602

Sharon Leslie Samson is a Chiropractor based in Lake St Louis, MO. Sharon Leslie Samson practices in Lake St Louis, MO and has the professional credentials of DC. The NPI Number for Sharon Leslie Samson is 1508817602 and holds a License No. 2004024905 (Missouri).

The current practice location address for Sharon Leslie Samson is 50 Centre On The Lake, Lake St Louis, MO and can be reached out via phone at 636-625-4448 and via fax at 636-625-4449.

Location: 50 Centre On The Lake, Lake St Louis, MO, 63367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508817602
Provider Name
Sharon Leslie Samson
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
50 Centre On The Lake, Lake St Louis, MO, 63367
Phone Number
636-625-4448
Fax Number
636-625-4449
Provider Enumeration Date
05/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25141 01 GHP
192065 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
50 Centre On The Lake
City
Lake St Louis
State
Missouri
Zip
63367-2938
Phone Number
636-625-4448
Fax Number
636-625-4449
person
Provider Business Mailing Address Details
Address
50 Centre On The Lake
City
Lake St Louis
State
Missouri
Zip
63367-2938
Phone Number
636-625-4448
Fax Number
636-625-4449
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2004024905 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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