LAKE INTERNAL MED SPECIAL
NPI 1275719627
Clinic/Center - Medical Specialty in Osage Beach, MO
- Organization
- Clinic/Center
- Medical Specialty
About LAKE INTERNAL MED SPECIAL
This page provides the complete NPI Profile along with additional information for Lake Internal Med Special, a provider established in Osage Beach, Missouri operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1275719627 assigned on January 2008. The practitioner's primary taxonomy code is 261QM2500X with license number RIE24 (MO). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. M David East D.o. (Owner)
- NPI
- 1275719627 Verify this NPI
- Provider Name
- LAKE INTERNAL MED SPECIAL
- Entity Type
- Organization
- Location Address
- 980 EXECUTIVE DR SUITE D OSAGE BEACH, MO 65065
- Location Phone
- (573) 348-6700
- Location Fax
- (573) 348-3310
- Mailing Address
- 980 EXECUTIVE DR SUITE D OSAGE BEACH, MO 65065
- Mailing Phone
- (573) 348-6700
- Mailing Fax
- (573) 348-3310
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2008
- Last Update Date
- 01-16-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- RIE24
- License State
- MO
- Taxonomy Description
- 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).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275719627, enumerated as an "organization" on January 16, 2008.
The provider is located at 980 EXECUTIVE DR SUITE D OSAGE BEACH, MO 65065 and the phone number is (573) 348-6700.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
