Lake Internal Med Special
NPI #1275719627 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1275719627
- Entity Type
- Organization
- Organization Name
- Lake Internal Med Special
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jan 16, 2008
- Last Updated
- Jan 16, 2008
Practice Location
- Address
- 980 EXECUTIVE DR
- Address 2
- SUITE D
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-3495
- Phone
- (573) 348-6700
Authorized Official
- Name
- DR. M DAVID EAST, D.O.
- Title
- OWNER
- Phone
- (573) 348-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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