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Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Other names
Pain Center of Lake Cumberland
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization
Contact information
Practice address
305 LANGDON STREET, SUITE P, SOMERSET, KY 42503
(606) 676-0206
(606) 676-0220
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/25/2010
Last updated
09/27/2017
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