Most Relevant Information
Provider Data
| NPI Number: | 1003639600 |
| Provider Name: | LAINEY OGLE |
| Entity Type: | Individual |
| Taxonomy Code: | 163WM0705X |
| Specialty: | Registered Nurse |
| License Number: | 041527769 |
Most Important Dates
| Enumeration Date: | 11/04/2024 |
| Last Updated: | 11/04/2024 |
Provider Practice Location
232 S WOODS MILL RD
CHESTERFIELD
MO
630173406
Practice Location Phone/Fax
| Phone: | 2172517084 |
| Fax: |
Provider Mailing Location
14462 BANTRY LN APT 4
CHESTERFIELD
MO
630178219
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |