LBR Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LBR INC

Doing business as

Dermatological Treatment Center, Inc.

Practice address

12255 De Paul Dr
845
Bridgeton, MO 63044-2559

Phone

(314) 344-0004

NPI assigned

Apr 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa B. Ring, M.D.

Title

Doctor

Phone

(314) 344-0004

Specialties & licenses 1

Addresses

Other names 1

• Dermatological Treatment Center, Inc. Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Margaret Behnen, PA-C

  • Physician Assistant
  • Saint Louis, MO
  • NPI 1356900492
  NPD
• Katherine Martin Moritz, M.D.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1548556988
  NPD
• Robyn Michelle Fanderclai, M.D.

  • Dermatology Physician
  • O Fallon, MO
  • NPI 1457462418
  NPD (past)
• Sarah L Jensen, M.D.

  • Dermatology Physician
  • Festus, MO
  • NPI 1639119175
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1427171040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR",
            "address_2": "845",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442559",
            "telephone_number": "314-344-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR",
            "address_2": "845",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442559",
            "telephone_number": "314-344-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "314-344-0004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatological Treatment Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Latimore
• Laura W Laue, D.O.
• Leslie Launch, M.D.
• Marcellus R Lawrence, MD
• Kimberly Ann Layfield, O.D.
• LDS Family Services
• Austin Lee, PHARMD
• Julie Michelle Lehrer, MSW
• Justin Brent Lendermon, M.D.
• Madalynn L Lenger

• Dermatology Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.