Lincoln County Medicine & Pediatrics, Llc | |
1165b E Cherry St Troy MO 63379-1520 | |
(636) 528-1919 | |
(636) 528-1916 |
Full Name | Lincoln County Medicine & Pediatrics, Llc |
---|---|
Speciality | Pediatrics |
Location | 1165b E Cherry St, Troy, Missouri |
Authorized Official Name and Position | James L Bockhorst (PARTNER) |
Authorized Official Contact | 6365281919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lincoln County Medicine & Pediatrics, Llc 1165b E Cherry St Troy MO 63379-1520 Ph: (636) 528-1919 | Lincoln County Medicine & Pediatrics, Llc 1165b E Cherry St Troy MO 63379-1520 Ph: (636) 528-1919 |
NPI Number | 1619008877 |
---|---|
Provider Enumeration Date | 03/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619008877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 111051 (Missouri) | Primary |
207R00000X | Internal Medicine | 2003002316 (Missouri) | Primary |
208000000X | Pediatrics | 2003002316 (Missouri) | Primary |
Lewis Meyerson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sarah Ann Blvd, Troy, MO 63379 Phone: 636-528-5281 Fax: 636-462-2637 | |