Individual
DR. LORA BIAS FOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7704
(573) 556-1714
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7704
(573) 556-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209660307
—
MO
Enumeration date
01/18/2006
Last updated
07/31/2008
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