Most Relevant Information
Provider Data
NPI Number: | 1003336785 |
Provider Name: | RANDY OLIVIER LAINE MD |
Entity Type: | Individual |
Taxonomy Code: | 207R00000X |
Specialty: | Internal Medicine |
License Number: | 2020019849 |
Most Important Dates
Enumeration Date: | 06/22/2017 |
Last Updated: | 04/25/2024 |
Provider Practice Location
1 BARNES JEWISH HOSPITAL PLZ
DIV IM HOSPITALIST
SAINT LOUIS
MO
631101003
Practice Location Phone/Fax
Phone: | 3143621700 |
Fax: | 3143629878 |
Provider Mailing Location
PO BOX 60352
SAINT LOUIS
MO
631600352
Provider Mailing Phone/Fax
Phone: | 3143621700 |
Fax: | 3143629878 |
Suggested EMR
Internist EMR