LAKE INTERNAL MED SPECIAL
NPI 1275719627
Clinic/Center - Medical Specialty in Osage Beach, MO

Q: What is Lake Internal Med Special's NPI number?

The NPI number for Lake Internal Med Special is 1275719627. It was assigned to this organization in the NPPES registry on January 16, 2008.

Q: What is Lake Internal Med Special's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since January 16, 2008

980 EXECUTIVE DR, SUITE D, OSAGE BEACH, MO 65065(573) 348-6700(573) 348-3310 Get Directions Write a Review

NPPES record last updated: January 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Internal Med Special NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE INTERNAL MED SPECIAL (NPI 1275719627) is a healthcare organization registered as a medical specialty in Osage Beach, Missouri and active in the NPI registry since January 2008. The organization lists M David East, Owner, as its authorized official.

NPPES Registry Identity

NPI1275719627

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameLAKE INTERNAL MED SPECIAL

Location Address980 EXECUTIVE DR, SUITE DOsage Beach, MO 65065-3495

Mailing Address980 Executive Dr, Suite DOsage Beach, MO 65065-3495 · (573) 348-6700 · Fax (573) 348-3310

Phone(573) 348-6700

Fax(573) 348-3310

Organization SubpartNo

Authorized OfficialM David EastOwner · (573) 348-6700

Enumeration DateJanuary 16, 2008

✔ NPI 1275719627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in MO · RIE24

Definition

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).

980 EXECUTIVE DR, Osage Beach, MO 65065

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Internal Med Special's NPI number?

The NPI number for Lake Internal Med Special is 1275719627. It was assigned to this organization in the NPPES registry on January 16, 2008.

Where is Lake Internal Med Special located?

Lake Internal Med Special is located at 980 Executive Dr Suite D, Osage Beach, MO 65065. The listed phone number is (573) 348-6700.

What is Lake Internal Med Special's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lake Internal Med Special was last updated on January 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.