Individual
MR. LYMAN JOHN WOSTREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 E SOUTH ST, MOUNT VERNON, MO 65712-1418
(417) 730-1989
(417) 730-1976
Mailing address
212 E SOUTH ST, MOUNT VERNON, MO 65712-1418
(417) 730-1989
(417) 730-1976
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2018014345
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
03/09/2021
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