Individual
LYNDELL D SCOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 E BROADWAY, STE 280, COLUMBIA, MO 65201-8023
(573) 815-8155
(573) 815-8154
Mailing address
1605 E BROADWAY, STE 280, COLUMBIA, MO 65201-8023
(573) 815-8155
(573) 815-8154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R6P51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203726922
—
MO
Enumeration date
08/12/2005
Last updated
12/30/2019
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