Organization
LAKE REGIONAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 348-8069
Mailing address
PO BOX 801661, KANSAS CITY, MO 64180-3050
(573) 348-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
291-30
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
291-30
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540671609
—
MO
Enumeration date
03/03/2008
Last updated
10/12/2023
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