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Organization

LAKE REGIONAL MEDICAL MANAGEMENT, INC.

Active
Other names
Lake Regional Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization

Contact information

Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8074
(573) 348-8069
Mailing address
PO BOX 801661, KANSAS CITY, MO 64180-1661
(573) 348-8000

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
501945604
MO
Enumeration date
04/18/2006
Last updated
11/04/2024
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