Individual
DR. THOMAS A LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 KISKER RD, SUITE 200, SAINT CHARLES, MO 63304-8781
(636) 498-5810
(636) 498-5826
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1H59
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202650503
—
MO
Enumeration date
04/03/2006
Last updated
10/23/2020
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