OrganizationActive
Lake Regional Medical Management, Inc.
NPI 1639134158 · Multi-Specialty Clinic/Center · Osage Beach, MO
Provider details
- NPI number
- 1639134158
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Mcroberts, Ceo(573) 348-8756
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone: (573) 348-8074
Fax: (573) 348-8069
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 801661
Kansas City, MO 64180-1661
Other names (DBA / former)
- Doing business as
- Lake Regional Medical Group
- Doing business as
- Lake Regional Medical Group
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.