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Organization
LAKE CUMBERLAND SURGERY CENTER LP
Active
Organization
LAKE CUMBERLAND SURGERY CENTER LP
Active
Other names
Lake Cumberland Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
301 LANGDON ST, SOMERSET, KY 42503-2750
(606) 678-9688
(606) 679-7479
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300141
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288161
BCBS
KY
05
—
36001246
—
KY
01
—
P00000869
RAILROAD MEDICARE ASC
KY
Enumeration date
12/27/2006
Last updated
05/27/2026
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