Organization
LAKE CUMBERLAND CARDIOLOGY ASSOCIATES LLC
Active
Other names
Lake Cumberland Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
50 MEDPARK SQUARE, STE 1, SOMERSET, KY 42503
(606) 678-0599
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100108260
—
KY
Enumeration date
09/28/2009
Last updated
07/19/2025
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