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Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Other names
Endocrinology Center of Lake Cumberland
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 950-7514
Entity
Organization
Contact information
Practice address
349 BOGLE ST, SUITE A, SOMERSET, KY 42503-2895
(606) 451-6060
(606) 678-4528
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(606) 451-6060
(606) 678-4528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/09/2013
Last updated
09/27/2017
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