Organization
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Active
Other names
Lake Cumberland Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
353 BOGLE ST, SUITE A, SOMERSET, KY 42503-2888
(606) 451-6005
(606) 678-2087
Mailing address
353 BOGLE ST, SUITE A, SOMERSET, KY 42503-2888
(606) 451-6005
(606) 678-2087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
10/07/2022
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