Lakeside Medical Center | |
1309 Lake Saint Louis Blvd Lake Saint Louis MO 63367-1322 | |
(636) 561-2211 | |
(636) 561-2590 |
Full Name | Lakeside Medical Center |
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Speciality | Internal Medicine |
Location | 1309 Lake Saint Louis Blvd, Lake Saint Louis, Missouri |
Authorized Official Name and Position | Patricia A Gushleff (PRESIDENT) |
Authorized Official Contact | 6365612211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeside Medical Center 1309 Lake Saint Louis Blvd Lake Saint Louis MO 63367-1322 Ph: (636) 561-2211 | Lakeside Medical Center 1309 Lake Saint Louis Blvd Lake Saint Louis MO 63367-1322 Ph: (636) 561-2211 |
NPI Number | 1427094986 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1427094986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 106207 (Missouri) | Primary |
Pro Health Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Dobbs Ln, Lake Saint Louis, MO 63367 Phone: 636-385-3347 |