# LAKES AREA MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N/A
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386876316
- **Authorized official:** DR. THOMAS L HUFFMAN M.D. (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (417) 739-1995

## Contact information

- **Practice address:** 11863 STATE HWY 13, KIMBERLING CITY, MO 65686
- **Practice address phone:** (417) 739-1995
- **Practice address fax:** (417) 739-1893
- **Mailing address:** PO BOX 555, KIMBERLING CITY, MO 65686-0555
- **Mailing address phone:** (417) 739-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/08/2009
- **Last updated:** 10/07/2015