LAKE INTERNAL MED SPECIAL is a medical specialty clinic center in Osage Beach, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LAKE INTERNAL MED SPECIAL NPI is 1275719627. The provider is registered as an organization entity type.
The provider's business location address is:
980 EXECUTIVE DR
SUITE D
OSAGE BEACH, MO
ZIP 65065-495
Phone: (573) 348-6700
Fax: (573) 348-3310
The provider's authorized official is M David East .
The authorized official title is Owner and has the following contact phone number (573) 348-6700.
The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/16/2008.