Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC
Active
Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC
Active
Other names
Gastroenterology of Lake Cumberland
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (SR. DIRECTOR)
(615) 920-7192
Entity
Organization
Contact information
Practice address
56 TOWER CIR, SOMERSET, KY 42503-3476
(606) 677-2913
(616) 677-6983
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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