Lake Internal Med Special in Osage Beach - Medical Specialty
Lake Internal Med Special - NPI 1275719627
Lake Internal Med Special is a Medical Specialty in Osage Beach, Missouri. Lake Internal Med Special practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Lake Internal Med Special is 1275719627. The last update date is 2008-01-16.
Lake Internal Med Special's current location address is 980 Executive Dr, Osage Beach, Missouri. You can contact this provider via phone number 5733486700 and fax number 5733483310. The mailing address for Lake Internal Med Special is 980 Executive Dr, Osage Beach, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Internal Med Special |
|---|---|
| Address | 980 Executive Dr, Osage Beach, Missouri |
| Phone Number | 5733486700 |
| Fax Number | 5733483310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | East David M |
| Credentials | D.O. |
| Telephone Number | 5733486700 |
NPI Number Detail
| NPI Number | 1275719627 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | 980 Executive Dr |
|---|---|
| City | Osage Beach |
| State | Missouri (MO) |
| Post Code | 650653495 |
| Phone Number | 5733486700 |
| Fax Number | 5733483310 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | RIE24 |
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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 |
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What is the unique 10-digit identifier code assigned to Lake Internal Med Special by the Centers for Medicare & Medicaid Services?
The Lake Internal Med Special has been issued the NPI (National Provider Identifier) 1275719627 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lake Internal Med Special?
The Lake Internal Med Special is situated at 980 Executive Dr, in the city of Osage Beach, state of MO, with the zip code 650653495.
What is Lake Internal Med Special's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Internal Med Special is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did Lake Internal Med Special receive its 1275719627 assignment from the Centers for Medicare & Medicaid Services?
The Lake Internal Med Special was assigned its 1275719627 on 2008-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lake Internal Med Special, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lake Internal Med Special, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-16.
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