| NPI | 1316616212 |
|---|---|
| Doing Business As | LAKE REGIONAL OBSTETRICS & GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | KEVIN MCROBERTS CEO 573-348-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2023-10-12 |