LAKE REGIONAL MEDICAL MANAGEMENT INC. NPI 1386926939

NPI Information

LAKE REGIONAL MEDICAL MANAGEMENT, INC. is a durable medical equipment medical supplies in Osage Beach, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LAKE REGIONAL MEDICAL MANAGEMENT, INC. NPI is 1386926939. The provider is registered as an organization entity type.
The provider Other Name Is Lake Regional Podiatry.

The provider's business location address is:

1075 NICHOLS RD
SUITE 1-2
OSAGE BEACH, MO
ZIP 65065-093
Phone: (573) 302-2828
Fax: (573) 302-2830

The provider's authorized official is Kevin Mcroberts .
The authorized official title is Ceo and has the following contact phone number (573) 348-8756.

The enumeration date for this NPI number is 9/9/2011 and was last updated on 10/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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