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Organization

LAKE CUMBERLAND PHYSICIAN PRACTICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA BOWMAN (PRESIDENT)
(615) 920-7000
Entity
Organization

Contact information

Practice address
305 MEDPARK DR, SOMERSET, KY 42503-2816
(606) 451-3885
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
207RP1001X
Pulmonary Disease Physician
207T00000X
Neurological Surgery Physician
2084P0800X
Psychiatry Physician
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
03/16/2017
Last updated
02/20/2024
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