Lake Regional Health System

NPI 1053427492 - Clinic/Center - 261QR1300X

NPI Details
NPI 1053427492
Enumeration Date 08/21/2006
Last Updated 08/11/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KRISTEN L KRISTEN
Position DIRECTOR OF MANAGED CARE
Phone (573) 392-5654
Fax (573) 392-5692
Practice Location
304A E 4TH ST
ELDON MO, 65026-1808, US
Phone (573) 392-5654
Fax (573) 392-5692
Business Location
PO BOX 1500
OSAGE BEACH MO, 65065-1500, US
Phone (573) 348-8074
Fax (573) 348-8069
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
Remove 1053427492 NPI Number
 

According to our database, Lake Regional Health System NPI is 1053427492, taxonomy code is 261QR1300X Lake Regional Health System physically located at 304a E 4th St, Eldon MO, 65026-1808. NPI Number 1033115704 has the healthcare provider type.

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1053427492 NPI number is provided on an as is basis without warranty of any kind. 1053427492 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Regional Health System are for informational purposes only.