Graduated: 2000
NPI: 1831209089
Practice Locations (3)
LAKE REGIONAL HEALTH SYSTEM
755 COWAN DR
LEBANON, MO 655364629
4175322805
LAKE REGIONAL HEALTH SYSTEM
1075 NICHOLS RD
OSAGE BEACH, MO 650653093
5733023990
LAKE REGIONAL HEALTH SYSTEM
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Source: CMS National Downloadable File, September 2026.