| NPI | 1588979900 |
|---|---|
| Doing Business As | CAPITAL REGION PHYSICIANS - DR. LAVERY |
| Entity Type | Organization |
| Authorized Contact | TOM LUEBBERING VP Of Finance 573-632-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2014-08-21 |