Organization
LAKE REGIONAL HEALTH SYSTEM
Active
Other names
Lake Regional Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. HENZE (PRESIDENT)
(573) 348-8392
Entity
Organization
Contact information
Practice address
54 HOSPITAL DR, SUITE 201, OSAGE BEACH, MO 65065-3050
(573) 302-2764
(573) 302-2767
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
02/21/2014
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