Lydia Wombacher

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

2081N0008X Issued in MO

Practice address

2 Harbor Bend CT Ste 102
Lake St Louis, MO 63367-1480

Phone

(636) 695-2075

NPI assigned

May 16, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1710816608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 SLEEPY HOLLOW DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HARBOR BEND CT STE 102",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671480",
            "telephone_number": "636-695-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBACHER",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "MO",
            "license": "2081N0008X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Wilkes, MD
• Aminah Williams, LPC
• Blair Williams, MS, PLPC
• Madison Wilmes, PHARMD
• Madison Crawford Winscher
• Ryan Anthony Wong, MD
• Megan Dru Woolverton, DPT
• Melissa Wren
• Wuca-Westside Pediatrics LLC
• Kim Damaris York, NURSE PRACTITIONER

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.