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

Lake Regional Health System

Organization Family Medicine Physician · NPI 1962828616

Lake Regional Health System is a Family Medicine Physician in Osage Beach, Missouri. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
9
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Practice location Address checks out

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone: (573) 348-8000
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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
Family Medicine Physician Taxonomy 207Q00000X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Hospitalist Physician Taxonomy 208M00000X
Clinic/Center Taxonomy 261Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1962828616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin McRoberts — Ceo · (573) 348-8756
NPI enumeratedMarch 5, 2014
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing addressPo Box 801661, Kansas City, MO 64180-1661

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