LAKE REGIONAL MEDICAL MANAGEMENT INC. NPI 1609273259

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 1609273259. The provider is registered as an organization entity type.
The provider Other Name Is Lake Regional Urology.

The provider's business location address is:

1075 NICHOLS RD
SUITE 7-8
OSAGE BEACH, MO
ZIP 65065-093
Phone: (573) 302-3111
Fax: (573) 302-2869

The provider's authorized official is David W. Halsell .
The authorized official title is Sr. V.p., Chief Financial Officer and has the following contact phone number (573) 348-8388.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 8/10/2015.

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

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