MARK ALAN LICHTENFELD

BALLWIN, MO
NPI1427149764
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  36554)
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
DR. MARK ALAN LICHTENFELD M.D.
14748 MANCHESTER RD # B
BALLWIN, MO 63011-3706
Phone number: 636-256-3636
Mailing Address
DR. MARK ALAN LICHTENFELD M.D.
358 LITTANY LN
CHESTERFIELD, MO 63017-2308
Phone number: 314-434-8666
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