# LACLEDE COUNTY HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033217799
- **Authorized official:** MRS. MARY JANE BLATTEL (BILLING CLERK)
- **Authorized official phone:** (417) 532-2134

## Contact information

- **Practice address:** 405 HARWOOD AVE, LEBANON, MO 65536-2319
- **Practice address phone:** (417) 532-2134
- **Practice address fax:** (417) 532-6095
- **Mailing address:** 405 HARWOOD AVE, LEBANON, MO 65536-2319
- **Mailing address phone:** (417) 532-2134
- **Mailing address fax:** (417) 532-6095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | MO | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/21/2022