MEDICARE: GOODVIEW FAMILY CARE

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
1	207Q00000X	Family Medicine Physician	2002002064	MO

General Provider Information

NPI Number	:	1316120645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODVIEW FAMILY CARE

Provider Business Mailing Address
First Line	:	PO BOX 1626
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65801-1626
Country	:	US
Telephone Number	:	816-517-8629
Fax Number	:	417-864-8097

Provider Business Practice Location Address
First Line	:	3600 NE RALPH POWELL RD
Second Line	:	SUITE B
City	:	LEES SUMMIT
State	:	MO
Zip	:	64064-2369
Country	:	US
Telephone Number	:	816-795-0400
Fax Number	:	816-525-4918

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ELIZABETH ANN LAMBIRD
Credential	:	D.O.
Telephone Number	:	816-795-0400

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	12/10/2007

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Directions to “GOODVIEW FAMILY CARE ” Practice Location

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