VICTORIA LAL (NPI# 1609272897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609272897 |
| Entity Type | Individual |
| Full Name | VICTORIA LAL |
| Credential | AGNP-BC |
| Practice Address |
300 Medical Plz Ste 310 Lake St Louis MO 63367-1484 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6366252662 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2014038386 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2014038386 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4203 S Cloverleaf Dr, Saint Peters, MO 633766452 | 6364419990 | 6364419997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881723179 | Victoria Sunil Lal | Internal Medicine | 5 Faas Ct, West Orange, NJ 07052-2652 | 2007-03-05 |
| Street Address |
300 MEDICAL PLZ STE 310 |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-1484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819034 | Charles Robert Hartman Jr. | Surgery | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2005-11-25 |
| 1558565077 | Deborah W La Scola | Specialist | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2007-06-11 |
| 1730101874 | Joseph Franklin Rodemann | Internal Medicine | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2006-07-25 |
| 1255362430 | Thomas Mark Leibold | Surgery | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2006-07-05 |
| 1073568382 | Thomas Harold Landon | Urology | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2006-05-24 |
| 1295796118 | David A. Nickel | Surgery | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205207768 | Kim Damaris York | Nurse Practitioner | 70 Cedar Bluff Dr Apt 19, Lake St Louis, MO 63367-2809 | 2015-10-09 |
| 1598021321 | Pamela Lynn Walsh | Nurse Practitioner | 2133 Welsh Dr, Lake St Louis, MO 63367-4875 | 2012-04-05 |
| 1528436920 | Amber Hodge | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2015-09-02 |
| 1235532193 | Jamee Vester | Nurse Practitioner | 400 Medical Plz, Lake St Louis, MO 63367-1490 | 2014-10-06 |
| 1336392711 | Kathleen M. Kloeckner | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1710596424 | Clay Thornburg | Nurse Practitioner | 602 S Home St, Palmyra, MO 63461-1747 | 2020-07-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.