| Family Clinic, Llc | |
|
2900 Lemay Ferry Road Suite 200 Saint Louis MO 63125-3969 | |
| (314) 416-1926 | |
| (314) 416-1007 |
| Full Name | Family Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Lemay Ferry Road, Saint Louis, Missouri |
| Authorized Official Name and Position | Yvonne Medrano Layugan (PHYSICIAN) |
| Authorized Official Contact | 3144161926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic, Llc 2900 Lemay Ferry Road Suite 200 Saint Louis MO 63125-3969 Ph: (314) 416-1926 | Family Clinic, Llc 2900 Lemay Ferry Road Suite 200 Saint Louis MO 63125-3969 Ph: (314) 416-1926 |
| NPI Number | 1295062917 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 05/03/2011 |
| Medicare PECOS PAC ID | 7618010059 |
|---|---|
| Medicare Enrollment ID | O20100206000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295062917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2007021711 (Missouri) | Primary |
| Provider Name | Yvonne M Layugan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902940869 PECOS PAC ID: 0345334322 Enrollment ID: I20070921000122 |
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