Lorenzo Dow Mcknelly, D.O. Valid NPI

Individual provider · Internal Medicine Physician · Jefferson City, MO

NPI

1861508095

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

R4N29 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-21

Last updated

2012-08-08