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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE INTERNAL MED SPECIAL

Active Organization

LAKE INTERNAL MED SPECIAL is a Medical Specialty Clinic organization located in OSAGE BEACH, Missouri. NPI 1275719627 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · OSAGE BEACH, MO

Registration Details

NPI Number
1275719627
Provider Type
Organization
NPI Issued
Jan 16, 2008 (18.610374763383 yrs)
Last Updated
Jan 16, 2008
License
RIE24 (MO)

Practice Information

Address
980 EXECUTIVE DR
SUITE D
OSAGE BEACH, MO, 650653495
Browse MO providers · Browse ZIP 65065
Phone
5733486700
Fax
5733483310
Primary Specialty
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.