NPI 1447493861

Karen Eshraghi, MD Lake of the Ozarks, LLC

Organisation Specialist Osage Beach, MO

Practice location

Address: 54 Hospital Dr STE 203, Osage Beach, MO 65065-3050
Phone: (573) 302-4695
Fax: (573) 302-4698

Authorised official

Name: Karen Eshraghi
Title: Owner
Phone: (573) 302-4695

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MDR8P69 (MO)

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Registry record

NPI: 1447493861
Entity type: Organization
NPI issued: 15 Apr 2009
Record last updated: 15 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.