Lake Convenience Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LAKE CONVENIENCE CLINIC

Practice address

100 College Blvd
Lake Ozark, MO 65049-8690

Phone

(573) 348-1560

Fax

(573) 348-5088

NPI assigned

Aug 24, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Henry Garrett, MD

Title

Doctor

Phone

(573) 398-1560

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1174516249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE BLVD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650498690",
            "telephone_number": "573-348-1560",
            "fax_number": "573-348-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE BLVD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650498690",
            "telephone_number": "573-348-1560",
            "fax_number": "573-348-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CONVENIENCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "573-398-1560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kempker
• Courtney Marie Kempker, MED, LPC
• Landon Lee Kirk, MSW, LCSW
• Kimberly Dawn Kucsik, LCSW
• Scott Kuenneke, MS, LPC, BCN
• Lake Ozark Family Eyecare, Inc.
• Lake Ozark Fire Protection District
• Lake Regional Health System
• Rodrick William Lekey, RN
• Dale A Lockhert, M.D.

• Clinic/Center in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.