Most Relevant Information
Provider Data
| NPI Number: | 1003487505 |
| Provider Name: | LONNIKAH HOLMES FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2021002718 |
Most Important Dates
| Enumeration Date: | 07/06/2021 |
| Last Updated: | 07/06/2021 |
Provider Practice Location
3636 S GEYER RD STE 100
SAINT LOUIS
MO
631271237
Practice Location Phone/Fax
| Phone: | 3147126170 |
| Fax: |
Provider Mailing Location
PO BOX 410181
CREVE COEUR
MO
631410181
Provider Mailing Phone/Fax
| Phone: | 3143684207 |
| Fax: |