Graduated: 2020
NPI: 1265025910
Practice Locations (2)
LAKE REGIONAL HEALTH SYSTEM
2042 N BUSINESS ROUTE 5, CAMDENTON WINDSOR ESTATES
CAMDENTON, MO 650202611
5733465654
LAKE REGIONAL HEALTH SYSTEM
226 E US HWY 54
CAMDENTON, MO 650206819
5738732521
Source: CMS National Downloadable File, September 2026.