Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Other names
Lake Cumberland Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BOWMAN (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
27 IMAGING DR, SUITE B, SOMERSET, KY 42503
(606) 679-7464
(606) 678-8586
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
02/18/2016
Last updated
11/17/2023
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