DR. MARK ALAN LICHTENFELD M.D. NPI 1427149764

NPI Information

  • NPI: 1427149764
  • Provider Name: DR. MARK ALAN LICHTENFELD, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 14748 MANCHESTER RD # B
    BALLWIN, MO
    ZIP 63011
  • Phone: (636) 256-3636

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NPI Details

DR. Mark Alan Lichtenfeld, M.D. is a family medicine in Ballwin, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mark Alan Lichtenfeld, M.D. NPI is 1427149764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14748 MANCHESTER RD # B
BALLWIN, MO
ZIP 63011-706
Phone: (636) 256-3636
Fax: (636) 256-8734

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine36554MISSOURIYes
2207Q00000XFamily MedicineILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100939OTHERMISSOURIHEALTHLINK PROVIDER NUMBE
25966114OTHERMISSOURIAETNA PROVIDER #
3A11625MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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