OrganizationActive
Lake Internal Med Special
NPI 1275719627 · Medical Specialty Clinic/Center · Osage Beach, MO
Provider details
- NPI number
- 1275719627
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- M East, Owner(573) 348-6700
- License
- RIE24 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
980 Executive Dr
Suite D
Osage Beach, MO 65065-3495
Phone: (573) 348-6700
Fax: (573) 348-3310
Approximate (ZIP-level) locationGet directions
Mailing address
980 Executive Dr
Osage Beach, MO 65065-3495
Registry dates
- Enumerated
- 2008-01-16
- Last updated
- 2008-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.