Organization
L.A. MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE ALLEN (OFFICE MANAGER)
(660) 947-4191
Entity
Organization
Contact information
Practice address
107 S 16TH ST, UNIONVILLE, MO 63565-1624
(660) 947-4191
(660) 947-4091
Mailing address
107 S 16TH ST, UNIONVILLE, MO 63565-1624
(660) 947-4191
(660) 947-4091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
01/28/2021
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