Lord, James L

Lord, James L is an individual health care provider with primary practice located at 12680 Olive Blvd Suite 300, Saint Louis MO 63141-6322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lord, James L can be contacted via phone (314) 251-8888.

Contact Information

Primary practice address
12680 Olive Blvd Suite 300 Saint Louis MO 63141-6322
Phone: (314) 251-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R6193 Missouri

Profile Details

NPI number 1508834300
LBN Legal business name Lord, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 19th, 2015 - about 9 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 1508834300 NPPES
Missouri MEDICAID 1508834300
Missouri Other 080192177

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