Lakeview Medical Group Inc Valid NPI

Organization · Internal Medicine Physician · O Fallon, MO

NPI

1972721025

Type

Organization (Type 2)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

108025 (MO)

Enumerated

2007-04-23

Last updated

2021-11-05