Organization · Type 2 NPI
Lake Internal Med Special
Medical Specialty Clinic/Center · Osage Beach, MO
Practice location
980 Executive Dr, Suite D
Osage Beach, MO 65065-3495
Fax (573) 348-3310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | RIE24 (MO) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
About NPI 1275719627
Lake Internal Med Special's National Provider Identifier is 1275719627, issued on Jan 16, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Osage Beach, MO. The record was last updated on Jan 16, 2008.