Organization · Type 2 NPI

Lake Girl, Inc

Primary Care Clinic/Center · House Springs, MO

NPI number 1255730446 Active

Practice location

4581 Gravois Rd
House Springs, MO 63051-1374

Fax (636) 671-9981

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X138512 (MO)

Primary Care Clinic/Center: Definition to come...

4 other providers at this address

About NPI 1255730446

Lake Girl, Inc's National Provider Identifier is 1255730446, issued on Aug 14, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in House Springs, MO. The record was last updated on Dec 21, 2023.