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Organization

LAKESIDE OBSTETRICS & GYNECOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN JAMES HOOKER MD (CO MANAGER)
(573) 302-1114
Entity
Organization

Contact information

Practice address
980 PARKSIDE VILLAGE LN, OSAGE BEACH, MO 65065-3098
(573) 302-1114
(573) 302-0077
Mailing address
980 PARKSIDE VILLAGE LN, OSAGE BEACH, MO 65065-3098
(573) 302-1114
(573) 302-0077

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2008006546
MO

Other

Enumeration date
05/23/2008
Last updated
11/10/2008
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