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Lake Internal Med Special
Medical Specialty Clinic/Center in Osage Beach, Missouri
NPI 1275719627

Lake Internal Med Special is a Medical Specialty Clinic/Center based in Osage Beach, MO and is specialized in Medical Specialty. Lake Internal Med Special practices in Osage Beach, MO. The NPI Number for Lake Internal Med Special is 1275719627 and holds a License No. RIE24 (Missouri).

The current practice location address for Lake Internal Med Special is 980 Executive Dr, Osage Beach, MO and can be reached out via phone at 573-348-6700 and via fax at 573-348-3310.

Location: 980 Executive Dr, Osage Beach, MO, 65065-3495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275719627
Provider Name
Lake Internal Med Special
Credential
Provider Entity Type
Organization
Address
980 Executive Dr, Osage Beach, MO, 65065-3495
Phone Number
573-348-6700
Fax Number
573-348-3310
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
980 Executive Dr
City
Osage Beach
State
Missouri
Zip
65065-3495
Phone Number
573-348-6700
Fax Number
573-348-3310
person
Provider Business Mailing Address Details
Address
980 Executive Dr
City
Osage Beach
State
Missouri
Zip
65065-3495
Phone Number
573-348-6700
Fax Number
573-348-3310
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
RIE24 (Missouri)
Definition
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).
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