Graduated: 1978
NPI: 1528089539
Practice Locations (3)
LAKE REGIONAL HEALTH SYSTEM
755 COWAN DR
LEBANON, MO 655364629
4175322805
LAKE REGIONAL HEALTH SYSTEM
1191 HWY KK, SUITE 300
OSAGE BEACH, MO 650653510
5733024960
LAKE REGIONAL HEALTH SYSTEM
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Source: CMS National Downloadable File, September 2026.