# LACROIX MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** roderic c crist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912023441
- **Authorized official:** DR. RODERIC CLAYTON CRIST MD (DOCTOR)
- **Authorized official phone:** (573) 339-0004

## Contact information

- **Practice address:** 3095 LEXINGTON AVE, SUITE 200, CAPE GIRARDEAU, MO 63701-2602
- **Practice address phone:** (573) 339-0004
- **Practice address fax:** (573) 335-9974
- **Mailing address:** 3095 LEXINGTON AVE, SUITE 200, CAPE GIRARDEAU, MO 63701-2602
- **Mailing address phone:** (573) 339-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R2H52 | MO | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 06/28/2012