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Organization

LAKE CUMBERLAND NEUROSURGICAL CLINIC PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMR O EL-NAGGAR M.D. (PRESIDENT)
(606) 678-9617
Entity
Organization

Contact information

Practice address
75 HAIL KNOB RD, SOMERSET, KY 42503-3434
(606) 678-9617
(606) 678-9619
Mailing address
75 HAIL KNOB RD, SOMERSET, KY 42503-3434
(606) 678-9617
(606) 678-9619

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
363AS0400X
Surgical Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/08/2007
Last updated
07/23/2014
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