Mark Alan Lichtenfeld M.D.

NPI 1427149764 - Family Medicine - 207Q00000X

NPI Details
NPI 1427149764
Gender Male
Enumeration Date 09/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14748 MANCHESTER RD # B
BALLWIN MO, 63011-3706, US
Phone (636) 256-3636
Fax (636) 256-8734
Business Location
358 LITTANY LN
CHESTERFIELD MO, 63017-2308, US
Phone (314) 434-8666
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 36554
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According to our database, Dr. Mark Alan Lichtenfeld M.D. NPI is 1427149764, taxonomy code is 207Q00000X and license number is 36554, license state is located at Missouri. Mark Alan Lichtenfeld M.D. physically located at 14748 Manchester Rd # B, Ballwin MO, 63011-3706. NPI Number Mark Alan Lichtenfeld M.D. has the Individual type.

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1427149764 NPI number is provided on an as is basis without warranty of any kind. 1427149764 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Alan Lichtenfeld M.D. are for informational purposes only.