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Individual

LYDIA WOMBACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 HARBOR BEND CT STE 102, LAKE ST LOUIS, MO 63367-1480
(636) 695-2075
Mailing address
1280 SLEEPY HOLLOW DR, TROY, MO 63379-2339

Taxonomy

Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2081N0008X
MO

Other

Enumeration date
05/16/2026
Last updated
05/16/2026
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