Lord, Thomas A

Lord, Thomas A is an individual health care provider with primary practice located at 1475 Kisker Rd Suite 200, Saint Charles MO 63304-8781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lord, Thomas A can be contacted via phone (636) 498-5810.

Contact Information

Primary practice address
1475 Kisker Rd Suite 200 Saint Charles MO 63304-8781
Phone: (636) 498-5810
Fax: (636) 498-5826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R1H59 Missouri

Profile Details

NPI number 1740242288
LBN Legal business name Lord, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Oct 23rd, 2020 - about 5 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 1740242288 NPPES
Missouri MEDICAID 202650503

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