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LAKE REGIONAL HEALTH SYSTEM 1386311223

Overview
Name: LAKE REGIONAL HEALTH SYSTEM Specialty: Rural Health Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Rural Health. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: LAKE REGIONAL HEALTH SYSTEM,441 W ELM ST,LEBANON,MO,655363523,US Mailing Address: LAKE REGIONAL HEALTH SYSTEM,54 HOSPITAL DR,OSAGE BEACH,MO,650653050,US
Contact #
Practice location phone #: 4175322805 Practice location fax #: 4175322848 Mailing address Phone #: 5733488399 Mailing Address fax #: 5733488309 Authorized official Name/Telephone #:DANE, WAYMOND, HENRY, CEO 5733488392
Misc
Date NPI was obtained: 08/27/2021 Last data data was updated: 08/27/2021 Insurances:

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