Lake Convenience Clinic
NPI #1174516249 in Lake Ozark, Missouri
Provider Information
- NPI Number
- 1174516249
- Entity Type
- Organization
- Organization Name
- Lake Convenience Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 24, 2005
- Last Updated
- Jul 3, 2008
Practice Location
- Address
- 100 COLLEGE BLVD
- City
- Lake Ozark
- State
- Missouri
- ZIP Code
- 65049-8690
- Phone
- (573) 348-1560
Authorized Official
- Name
- THOMAS HENRY GARRETT, MD
- Title
- DOCTOR
- Phone
- (573) 398-1560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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