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Organization

LAKES AREA MEDICAL CLINIC, LLC

Active
Other names
N/A
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS L HUFFMAN M.D. (OWNER/MEDICAL DIRECTOR)
(417) 739-1995
Entity
Organization

Contact information

Practice address
11863 STATE HWY 13, KIMBERLING CITY, MO 65686
(417) 739-1995
(417) 739-1893
Mailing address
PO BOX 555, KIMBERLING CITY, MO 65686-0555
(417) 739-1995

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/08/2009
Last updated
10/07/2015
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