# L.A. MEDICAL LLC

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

## Provider details

- **NPI number:** 1235731233
- **Authorized official:** MR. LAWRENCE ALLEN (OFFICE MANAGER)
- **Authorized official phone:** (660) 947-4191

## Contact information

- **Practice address:** 107 S 16TH ST, UNIONVILLE, MO 63565-1624
- **Practice address phone:** (660) 947-4191
- **Practice address fax:** (660) 947-4091
- **Mailing address:** 107 S 16TH ST, UNIONVILLE, MO 63565-1624
- **Mailing address phone:** (660) 947-4191
- **Mailing address fax:** (660) 947-4091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2020
- **Last updated:** 01/28/2021