Dr CHARLES C CANVER is a male medical professional, specializing in Cardiac Surgery. He graduated in 1981.
LAKE REGIONAL MEDICAL MANAGEMENT, INC.
54 HOSPITAL DR
SUITE 225
OSAGE BEACH
MO
650653050
Tel: 5733024406
| Npi | 1477855450 |
| Pac Id | 9537484779 |
| Professional Enrollment Id | I20160831002619 |
| Last Name | CANVER |
| First Name | CHARLES |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1981 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialty 1 | THORACIC SURGERY |
| Secondary Specialty 2 | VASCULAR SURGERY |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Organization Legal Name | LAKE REGIONAL MEDICAL MANAGEMENT, INC. |
| Group Practice Pac Id | 3577467323 |
| Number Of Group Practice Members | 35 |
| Line 1 Street Address | 54 HOSPITAL DR |
| Line 2 Street Address | SUITE 225 |
| Marker Of Address Line 2 Suppression | |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 650653050 |
| Phone Number | 5733024406 |
| Hospital Affiliation Ccn 1 | 260186 |
| Hospital Affiliation Lbn 1 | LAKE REGIONAL HEALTH SYSTEM |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Professional Accepts Medicare Assignment | Y |
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