MEDICARE: LESTER E COX MEDICAL CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1972778884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LESTER E COX MEDICAL CENTERS

Provider Business Mailing Address
First Line	:	3800 S NATIONAL AVE
Second Line	:	STE 540
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-5209
Country	:	US
Telephone Number	:	417-269-5712
Fax Number	:	417-269-4869

Provider Business Practice Location Address
First Line	:	202 N COMMERCIAL ST
Second Line	:
City	:	SEYMOUR
State	:	MO
Zip	:	65746-8858
Country	:	US
Telephone Number	:	417-269-4268
Fax Number	:	417-269-3104

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. DAVID P TAYLOR
Credential	:
Telephone Number	:	417-269-4320

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	11/06/2012

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Directions to “LESTER E COX MEDICAL CENTERS ” Practice Location

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