| NPI | 1134500739 |
|---|---|
| Doing Business As | TRI-LAKES FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN CLARK Owner 417-332-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013024407) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |