Individual
MICHAEL LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7136
(414) 219-6264
Mailing address
1750 INDEPENDENCE AVE, KANSAS CITY, MO 64106-1453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81813-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2023
Last updated
04/10/2025
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