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Contact Information

TIMOTHY D LISCHWE, MD
54 HOSPITAL DR
OSAGE BEACH, MO65065-3050
 Phone: 573-348-8002
 Fax: 573-348-1622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for TIMOTHY D LISCHWE · (Male)

NPI # 1730184151
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # R9E24
Hospital affiliation(s)
  • LAKE REGIONAL HEALTH SYSTEM - (Acute Care)
    54 HOSPITAL DRIVE
    OSAGE BEACH, MO 65065
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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