| Organization Name: | LAKE REGIONAL HEALTH SYSTEM |
| NPI Number: | 1053581454 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID W. HALSELL (SR. V.P., CFO/AUTHORIZED OFFICIAL) |
| Mailing Address: | 54 Hospital Dr Osage Beach |
| State: | MO US |
| Postal Code: | 650653050 |
| Phone Number: | 5733488000 |
| Fax Number: | 5733488069 |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 291-30 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |