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NPI Code Detail

MEDICARE: LEI GUAN MD

MEDICARE: LEI GUAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD-49563IA
2207P00000XEmergency Medicine Physician2004017276MO

General Provider Information

NPI Number : 1235191321
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEI GUAN MD
Provider Business Mailing Address
First Line : 251 PALISADES RIDGE CT
Second Line :
City : EUREKA
State : MO
Zip : 63025-3706
Country : US
Telephone Number : 636-587-2998
Fax Number :
Provider Business Practice Location Address
First Line : 904 WOLLARD BLVD
Second Line : RAY COUNTY MEMORIAL HOSPITAL
City : RICHMOND
State : MO
Zip : 64085-2229
Country : US
Telephone Number : 816-470-5432
Fax Number : 816-470-8382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 12/18/2025

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Directions to “ LEI GUAN MD” Practice Location

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