Lopez-Concagh, Lissa

Lopez-Concagh, Lissa is an individual health care provider with primary practice located at 450 N New Ballas Rd Ste 204 , Saint Louis MO 63141-6836. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Lopez-Concagh, Lissa can be contacted via phone (314) 991-0137.

Contact Information

Primary practice address
450 N New Ballas Rd Ste 204 Saint Louis MO 63141-6836
Phone: (314) 991-0137
Fax: (314) 991-0603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 108606 Missouri

Profile Details

NPI number 1619957917
LBN Legal business name Lopez-Concagh, Lissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619957917 NPPES
Missouri MEDICAID 205957517

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