Lake St. Louis Wigs and Cuts

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

LAKE ST. LOUIS WIGS AND CUTS

Practice address

950 Corporate Pkwy Ste 100
Wentzville, MO 63385-4851

Phone

(636) 887-2193

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Susan Housewright

Title

President

Phone

(636) 887-2193

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1659987295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CORPORATE PKWY STE 100",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854851",
            "telephone_number": "636-887-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CORPORATE PKWY STE 100",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854851",
            "telephone_number": "636-887-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ST. LOUIS WIGS AND CUTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "HOUSEWRIGHT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-887-2193"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Kuhn, D.C.
• Shannon Kuhn, D.C.
• Dana Sue Kulick X, COTA
• Matthew Kungis, PT, DPT
• Lake Forest Pharmacy
• Derek Lambert
• Jordis Nevaeh Lang
• Janae Nicole Laporte
• James Laws
• Sarah Elizabeth Layton, MSW, LCSW

• All providers in Wentzville, MO
• Prosthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.