# LAKE REGIONAL HEALTH SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Regional Clinic - Laurie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427162254
- **Authorized official:** KEVIN MCROBERTS (CEO)
- **Authorized official phone:** (573) 348-8756

## Contact information

- **Practice address:** 156 MISSOURI BOULEVARD, SUITE B, LAURIE, MO 65038-4933
- **Practice address phone:** (573) 374-5263
- **Practice address fax:** (573) 374-4933
- **Mailing address:** PO BOX 801661, KANSAS CITY, MO 64180-1661
- **Mailing address phone:** (573) 348-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 10/13/2023