LAKE GIRL, INC

NPI # 

Practice Address:

4581 Gravois Rd

House Springs, MO, 63051-1374

Practice Phone:

636-671-9980

Practice Fax:

636-671-9981

License Number:

138512

License State:

MO

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X