# LAKELAND CLINICAL

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

## Provider details

- **NPI number:** 1205588456
- **Authorized official:** MICHAEL L STUART PHARMD (OWNER/AUTHORIZED USER)
- **Authorized official phone:** (417) 272-8064

## Contact information

- **Practice address:** 18565 BUSINESS 13, BRANSON WEST, MO 65737-9659
- **Practice address phone:** (417) 272-8064
- **Practice address fax:** (417) 272-0073
- **Mailing address:** 18565 BUSINESS 13 STE A, BRANSON WEST, MO 65737-9629
- **Mailing address phone:** (417) 272-8064
- **Mailing address fax:** (417) 272-0073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2022
- **Last updated:** 02/18/2022