# CORPORATE HEALTH CARE PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lyndon Family Medicine PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831397579
- **Authorized official:** DR. JACOB BLUM MD (PRESIDENT)
- **Authorized official phone:** (502) 425-9930

## Contact information

- **Practice address:** 8013 NEW LAGRANGE RD, SUITE \#5, LOUISVILLE, KY 40222-4700
- **Practice address phone:** (502) 425-9930
- **Practice address fax:** (502) 425-0915
- **Mailing address:** 8013 NEW LAGRANGE RD, SUITE \#5, LOUISVILLE, KY 40222-4700
- **Mailing address phone:** (502) 425-9930
- **Mailing address fax:** (502) 425-0915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 28306 | KY | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/22/2020