Individual
ELIZA LAMIN DEFRODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-8538
(573) 884-7453
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2021008803
MO
208800000X
Urology Physician
273426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095641
—
MO
Enumeration date
05/15/2013
Last updated
09/30/2021
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