Lora Pearlman Collier, M.D.
Individual provider Active NPI Pediatrics Physician · Town and Country, MO
NPI 1104003771 · NPPES record last updated Jun 15, 2018
Key facts
- NPI
- 1104003771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 2006016374 (MO)
- Practice address
- 13001 N Outer 40 Rd Ste 320
Town and Country, MO 63017 - Phone
- (314) 567-7337
- Fax
- (314) 851-4476
- NPI assigned
- Jan 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006016374 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Multispecialty Group Inc. | Pediatrics | Past |
Accepting new patients |
Interoperability endpoints
- lora.collier.p1@direct.essehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2006016374 | MO | Yes |
Addresses
Primary practice location
13001 N Outer 40 Rd Ste 320
Town and Country, MO 63017
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 567-7337
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2184242 | Other | MO | CIGNA |
| 95462 | Other | MO | HCUSA |
| 9163352 | Other | MO | AETNA |
| 495032 | Other | MO | COVENTRY |
| 000000626941 | Other | MO | BCBS |
| 976876 | Other | MO | HEALTHLINK |
| 3041736 | Other | MO | UHC |
Other names
- Lora Rebecca Pearlman
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All providers in Town and Country, MO · Pediatrics Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.