NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053427492 |   |   |   | LAKE REGIONAL HEALTH SYSTEM | PO BOX 1500 | OSAGE BEACH | MO | 650651500 |
1205280427 | BANINA | EVGENIYA |   |   | 701 W 5TH ST | ODESSA | TX | 797634206 |
1205835303 | BERNABE | PAUL |   |   | 54 HOSPITAL DR | OSAGE BEACH | MO | 650653050 |
1982833885 | HAGELY | JASON | SCOTT |   | 54 HOSPITAL DR | OSAGE BEACH | MO | 650653050 |
1225024839 | RUSSELL | JULIE | L. |   | 54 HOSPITAL DR | OSAGE BEACH | MO | 650653050 |