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

Individual provider Family Medicine Physician · NPI 1427149764

Dr. Mark Alan Lichtenfeld, MD is a Family Medicine Physician in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14748 Manchester Rd # B
Ballwin, MO 63011-3706
Phone: (636) 256-3636
Fax: (636) 256-8734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36554 (MO)
Family Medicine Physician Taxonomy 207Q00000X (IL)

Record details

NPI number1427149764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address358 Littany Ln, Chesterfield, MO 63017-2308

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