Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Other names
Endocrinology Center of Lake Cumberland
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 950-7514
Entity
Organization
Contact information
Practice address
349 BOGLE ST, SUITE A, SOMERSET, KY 42503-2895
(606) 451-6060
(606) 678-4528
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(606) 451-6060
(606) 678-4528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/09/2013
Last updated
09/27/2017
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