Organization
MIDWEST DIVISION - LRHC LLC
Active
Other names
LRHC Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET KOLMAN (CEO)
(660) 259-6802
Entity
Organization
Contact information
Practice address
1030 MAIN ST, LEXINGTON, MO 64067-1345
(660) 259-2203
(660) 259-6819
Mailing address
1500 STATE ST, LEXINGTON, MO 64067-1107
(660) 259-2203
(660) 259-6819
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010568509
—
MO
05
—
540568508
—
MO
05
—
90036022
—
KS
Enumeration date
02/05/2008
Last updated
11/30/2021
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