Individual
LAWRENCE STEPHEN TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 1ST CAPITOL DR STE 201, SAINT CHARLES, MO 63301-2882
(636) 669-2332
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R8J21
MO
Other
Enumeration date
03/05/2007
Last updated
11/24/2020
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