| NPI | 1588982870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH LAKE LACEY President 417-624-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R6N85) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2012-02-17 |