Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeview Medical Group Inc

Organization Internal Medicine Physician · NPI 1972721025

Lakeview Medical Group Inc is an Internal Medicine Physician in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

830 Waterbury Falls Dr Ste 202
O Fallon, MO 63368-2215
Phone: (636) 278-1670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 108025 (MO)

Record details

NPI number1972721025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Wright — President · (636) 397-4012
NPI enumeratedApril 23, 2007
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing address1630 Market Center Blvd Ste 201, O Fallon, MO 63368-8407

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