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Lake Regional Health System
Rural Health Clinic/Center in Lebanon, Missouri
NPI 1386311223

Lake Regional Health System is a Rural Health Clinic/Center based in Kansas City, MO and is specialized in Rural Health. Lake Regional Health System practices in Lebanon, MO. The NPI Number for Lake Regional Health System is 1386311223 and holds a License No. (Missouri).

The current practice location address for Lake Regional Health System is 755 Cowan Drive, Lebanon, MO and can be reached out via phone at 417-532-2805 and via fax at 417-532-2848.

Location: 755 Cowan Drive, Lebanon, MO, 64180-1661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386311223
Provider Name
Lake Regional Health System
Credential
Provider Entity Type
Organization
Address
755 Cowan Drive, Lebanon, MO, 64180-1661
Phone Number
417-532-2805
Fax Number
417-532-2848
Provider Enumeration Date
08/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
590107490 05 MO
institution
Provider Business Practice Location Address Details
Address
755 Cowan Drive
City
Lebanon
State
Missouri
Zip
65536
Phone Number
417-532-2805
Fax Number
417-532-2848
person
Provider Business Mailing Address Details
Address
755 Cowan Drive
City
Lebanon
State
Missouri
Zip
65536
Phone Number
417-532-2805
Fax Number
417-532-2848
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
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Definition
Definition to come...
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