Lake Internal Med Special
Lake Internal Med Special is a Medical Specialty Clinic/Center in Osage Beach, Missouri. Licensed in Missouri. Registered with an NPI since 2008.
- Licensed in
- MO
- In the registry since
- 2008
Practice location Address checks out
980 Executive Dr Ste DOsage Beach, MO 65065-3495
Phone: (573) 348-6700
Fax: (573) 348-3310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence RIE24 (MO) |
|---|
Record details
| NPI number | 1275719627 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | M East — Owner · (573) 348-6700 |
| NPI enumerated | January 16, 2008 |
| Last updated in NPPES | January 16, 2008 |
| Mailing address | 980 Executive Dr, Suite D, Osage Beach, MO 65065-3495 |