Graduated: 2025
NPI: 1093666422
Practice Locations (3)
LAKE REGIONAL HEALTH SYSTEM
514 W FREMONT RD, LEBANON SOUTH NURSING AND REHAB
LEBANON, MO 655364244
4175825351
LAKE REGIONAL HEALTH SYSTEM
596 MORTON RD
LEBANON, MO 655363648
4175329173
LAKE REGIONAL HEALTH SYSTEM
755 COWAN DR
LEBANON, MO 655364629
4175322805
Source: CMS National Downloadable File, September 2026.