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

Lake Girl, Inc

Organization Primary Care Clinic/Center · NPI 1255730446

Lake Girl, Inc is a Primary Care Clinic/Center in House Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4581 Gravois Rd
House Springs, MO 63051-1374
Phone: (636) 671-9980
Fax: (636) 671-9981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 138512 (MO)

Record details

NPI number1255730446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Willer — Owner · (314) 322-7017
Other names Hometown Family Medicine; Hometown Family Medicine
NPI enumeratedAugust 14, 2014
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address4581 Gravois Rd, House Springs, MO 63051-1374