Missouri State Route 154 runs east-west in East-Central Monroe County. It provides the southern access Mark Twain Lake. This runs from a junction with U.S. Rt. 24/BUSN U.S. Rt. 24, on the southwest side of Paris, to the Monroe/Ralls County Line, near Perry. MO St Rt 154 passes through the following town in Monroe County. Paris
MO St Rt 154 is multi-plexed in Monroe County. BUSN U.S. Rt. 24, at Paris.
A junction marker on SB MO St Rt 107. A junction marker on WB BUSN U.S. Rt. 24/SB MO St Rt 15. WB BUSN U.S. Rt. 24/MO St Rt 154 at Paris. A junction marker on EB U.S. Rt. 24. The western end of BUSN U.S. Rt. 24/MO St Rt 154. The western end marker.
