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Dr. Lisa G. Distefano, MD
Pediatrics Physician in Maryville, Missouri
NPI 1003810789

Lisa G. Distefano is a Pediatrics Physician based in Maryville, MO. Lisa G. Distefano practices in Maryville, MO and has the professional credentials of MD. The NPI Number for Lisa G. Distefano is 1003810789 and holds a License No. 119536 (Missouri).

The current practice location address for Lisa G. Distefano is 2016 S Main St, Maryville, MO and can be reached out via phone at 660-562-2525 and via fax at 660-562-7993.

Location: 2016 S Main St, Maryville, MO, 64468-2659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003810789
Provider Name
Lisa G. Distefano
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2016 S Main St, Maryville, MO, 64468-2659
Phone Number
660-562-2525
Fax Number
660-562-7993
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0520171 05 IA
204665202 05 MO
institution
Provider Business Practice Location Address Details
Address
2016 S Main St
City
Maryville
State
Missouri
Zip
64468-2655
Phone Number
660-562-2525
Fax Number
660-562-7993
person
Provider Business Mailing Address Details
Address
2016 S Main St
City
Maryville
State
Missouri
Zip
64468-2655
Phone Number
660-562-2525
Fax Number
660-562-7993
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
119536 (Missouri)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
119536 (Missouri)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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