Dermatology
LAKE ST LOUIS DERMATOLOGY PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255583746 · enumerated 2008-10-16 · record updated 2009-02-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. MARIA CANIZARES-HEYDE MD, Dermatologist · (636) 561-0026
Addresses and phones
- Practice location 300 MEDICAL PLZ, MOB 2, SUITE 210, LAKE ST LOUIS, MO, 63367-1481 (636) 561-0026 Google Maps Apple Maps OpenStreetMap
- Mailing address 300 MEDICAL PLZ, MOB 2, SUITE 210, LAKE ST LOUIS, MO, 63367-1481 (636) 561-0026 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License MO2002031471 MO
In this directory
Locations and evidence
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Practice location
LAKE ST LOUIS, MO, 633671481
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.