Organization
LAKE CONVENIENCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HENRY GARRETT MD (DOCTOR)
(573) 398-1560
Entity
Organization
Contact information
Practice address
100 COLLEGE BLVD, LAKE OZARK, MO 65049-8690
(573) 348-1560
(573) 348-5088
Mailing address
100 COLLEGE BLVD, LAKE OZARK, MO 65049-8690
(573) 348-1560
(573) 348-5088
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2005
Last updated
07/03/2008
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