Organization
CIRCLE MAKER LLC
Active
Other names
Center for Diagnostic Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA LYNN PARKER MD (PHYSICIAN)
(417) 461-3009
Entity
Organization
Contact information
Practice address
320 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-0056
(833) 707-1944
Mailing address
320 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-0056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205890106
—
MO
Enumeration date
06/27/2022
Last updated
03/11/2023
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