Organization Name: | THYMIOS P LAMBROU LILBOURN MEDICAL CLINIC |
NPI Number: | 1811015902 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THYMIOS P LAMBROU (OWNER) |
Mailing Address: | 537 W Yoakum Ave Chaffee |
State: | MO US |
Postal Code: | 637401825 |
Phone Number: | 5738873010 |
Fax Number: | 5738873004 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |