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Organization

LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

Active
Other names
Lake Cumberland Hematology & Oncology Center
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA BOWMAN (DIRECTOR)
(159) 207-0006
Entity
Organization

Contact information

Practice address
401 BOGLE ST, SUITE 101, SOMERSET, KY 42503-3823
(606) 676-0275
(606) 676-0295
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(606) 676-0275
(606) 676-0295

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
01/27/2014
Last updated
02/02/2024
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