Provider Demographics
NPI:1093129538
Name:RANCOUR, ELIZABETH ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:RANCOUR
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Gender:
Credentials:MD
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Mailing Address - Street 1:10287 CLAYTON RD STE 360
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1181
Mailing Address - Country:US
Mailing Address - Phone:314-350-8207
Mailing Address - Fax:314-293-6801
Practice Address - Street 1:10287 CLAYTON RD STE 360
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1181
Practice Address - Country:US
Practice Address - Phone:314-350-8207
Practice Address - Fax:314-293-6801
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2025-04-10
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Provider Licenses
StateLicense IDTaxonomies
MO2018004930207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology