# LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endocrinology Center of Lake Cumberland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538594668
- **Authorized official:** SARA MILLER (DIRECTOR)
- **Authorized official phone:** (615) 950-7514

## Contact information

- **Practice address:** 349 BOGLE ST, SUITE A, SOMERSET, KY 42503-2895
- **Practice address phone:** (606) 451-6060
- **Practice address fax:** (606) 678-4528
- **Mailing address:** PO BOX 719, SOMERSET, KY 42502-0719
- **Mailing address phone:** (606) 451-6060
- **Mailing address fax:** (606) 678-4528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 09/27/2017