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Dr. Mark Alan Lichtenfeld, MD
Family Medicine Physician in Ballwin, Missouri
NPI 1427149764

Mark Alan Lichtenfeld is a Family Medicine Physician based in Chesterfield, MO. Mark Alan Lichtenfeld practices in Ballwin, MO and has the professional credentials of MD. The NPI Number for Mark Alan Lichtenfeld is 1427149764 and holds a License No. 36554 (Missouri).

The current practice location address for Mark Alan Lichtenfeld is 14748 Manchester Rd # B, Ballwin, MO and can be reached out via phone at 636-256-3636 and via fax at 636-256-8734.

Location: 14748 Manchester Rd # B, Ballwin, MO, 63017-2308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427149764
Provider Name
Mark Alan Lichtenfeld
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14748 Manchester Rd # B, Ballwin, MO, 63017-2308
Phone Number
636-256-3636
Fax Number
636-256-8734
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5966114 01 MO AETNA PROVIDER #
100939 01 MO HEALTHLINK PROVIDER NUMBE
institution
Provider Business Practice Location Address Details
Address
14748 Manchester Rd # B
City
Ballwin
State
Missouri
Zip
63011-3706
Phone Number
636-256-3636
Fax Number
636-256-8734
person
Provider Business Mailing Address Details
Address
14748 Manchester Rd # B
City
Ballwin
State
Missouri
Zip
63011-3706
Phone Number
636-256-3636
Fax Number
636-256-8734
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
36554 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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