Individual
DR. JAMES L LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12680 OLIVE BLVD, SUITE 300, SAINT LOUIS, MO 63141-6322
(314) 251-8888
Mailing address
12680 OLIVE BLVD, SUITE 300, SAINT LOUIS, MO 63141-6322
(314) 251-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6193
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080192177
RAILROAD MEDICARE
MO
05
—
1508834300
—
MO
Enumeration date
03/09/2006
Last updated
01/19/2015
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