Lake Regional Podiatry

LBN: Lake Regional Medical Management, Inc.
Lake Regional Podiatry is an health care organization with primary practice located at 1075 Nichols Rd Suite 1-2, Osage Beach MO 65065-3093. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lake Regional Medical Management, Inc. can be contacted via phone (573) 302-2828, or through Mcroberts, Kevin via phone (573) 348-8756.

Contact Information

Primary practice address
1075 Nichols Rd Suite 1-2 Osage Beach MO 65065-3093
Phone: (573) 302-2828
Fax: (573) 302-2830
Website:
Map and Directions
Authorized official contact:
Name: Mcroberts, Kevin
Phone: (573) 348-8756

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1386926939
LBN Legal business name Lake Regional Medical Management, Inc.
DBA Doing business as Lake Regional Podiatry
Authorized official Mcroberts, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2011
Last updated Oct 16th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386926939 NPPES
Missouri Other 3928520002 DME PTAN
Missouri MEDICAID 501945604 DME PTAN

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