Organization
GUSHLEFF HEALTHCARE, INC.
Active
Other names
LAKESIDE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A GUSHLEFF RN (PRESIDENT)
(636) 561-2211
Entity
Organization
Contact information
Practice address
1309 LAKE SAINT LOUIS BLVD, LAKE SAINT LOUIS, MO 63367-1322
(636) 561-2211
(636) 561-2590
Mailing address
1309 LAKE SAINT LOUIS BLVD, LAKE SAINT LOUIS, MO 63367-1322
(636) 561-2211
(636) 561-2590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
106207
MO
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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