Thymios P Lambrou Lilbourn Medical Clinic

Organization Active NPI Rural Health Clinic/Center · Chaffee, MO

NPI 1811015902 · NPPES record last updated Jun 17, 2008

Key facts

NPI
1811015902
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
THYMIOS P LAMBROU LILBOURN MEDICAL CLINIC
Practice address
537 W Yoakum Ave
Chaffee, MO 63740-1825
Phone
(573) 887-3010
Fax
(573) 887-3004
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

Name
Thymios P Lambrou, M.D.
Title
Owner
Phone
(573) 887-3010

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Chaffee Medical Clinic (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MO Yes

Addresses

Primary practice location

537 W Yoakum Ave
Chaffee, MO 63740-1825

Mailing address

537 W Yoakum Ave
Chaffee, MO 63740-1825
Phone (573) 887-3010

Other identifiers

IdentifierTypeStateIssuer
594017600MedicaidMO

Other names

  • CHAFFEE MEDICAL CLINIC Doing business as

Other providers in Chaffee, MO

All providers in Chaffee, MO · Rural Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.