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Organization

MIDWEST DIVISION-LRHC LLC

Active
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Organization

MIDWEST DIVISION-LRHC LLC

Active
Parent organization
MIDWEST DIVISION-LRHC LLC
Other names
Lafayette Regional Health Center, Lafayette Regional Health Center Radiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIDWEST DIVISION-LRHC LLC
Authorized official
BRET KOLMAN (CEO)
(660) 259-2203
Entity
Organization

Contact information

Practice address
1500 STATE ST, LEXINGTON, MO 64067-1107
(660) 259-2203
(660) 259-6813
Mailing address
1500 STATE ST, LEXINGTON, MO 64067-1107
(660) 259-2203
(660) 259-6813

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
07/05/2012
Last updated
11/30/2021
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