Individual provider · Type 1 NPI
Lyman John Wostrel, MD
General Practice Physician · Mount Vernon, MO
NPI number
1689107856
Active
Practice location
212 E South St
Mount Vernon, MO 65712-1418
Fax (417) 730-1976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 2018014345 (MO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Mount Vernon
About NPI 1689107856
Lyman John Wostrel, MD's National Provider Identifier is 1689107856, issued on Apr 5, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mount Vernon, MO. The record was last updated on Mar 9, 2021.