Graduated: 2016
NPI: 1578810230
Practice Locations (2)
LAKE REGIONAL HEALTH SYSTEM
302 E 4TH ST
ELDON, MO 650261808
5733929400
LAKE REGIONAL HEALTH SYSTEM
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Source: CMS National Downloadable File, September 2026.