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NPI Code Detail

MEDICARE: LORI E. KIEFER LPC

MEDICARE: LORI E. KIEFER LPC
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
1101YM0800XMental Health Counselor2001015120MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1177209OTHERMOBCBS
2214567OTHERMOCOMPYSCH
37632437OTHERMOAETNA
4286901OTHERMOMANAGED HEALTH NETWORK
5455823OTHERMOVALUE OPTIONS
6634064OTHERMOHEALTHLINK

General Provider Information

NPI Number : 1578660106
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI E. KIEFER LPC
Provider Business Mailing Address
First Line : 8772 BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3730
Country : US
Telephone Number : 314-962-7788
Fax Number : 314-962-4158
Provider Business Practice Location Address
First Line : 8772 BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3730
Country : US
Telephone Number : 314-962-7788
Fax Number : 314-962-4158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 07/08/2007

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1255438883 — KAROL A. KIEL MA
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1902976541 — DR. ELLEN LEVITZ PHD
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1295873214 — DR. HEIDI MARIE BUTTS D.M.D., M.S.
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Practice Fax:

Directions to “ LORI E. KIEFER LPC” Practice Location

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