Individual
DR. WILFRED AMISCUA LUMBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1065 ASHLEY ST, BOWLING GREEN, KY 42103-3400
(270) 843-3376
(270) 780-0496
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
48569
KY
207N00000X
Dermatology Physician
MD0000045837
TN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
48569
KY
Other
Enumeration date
02/01/2006
Last updated
07/16/2025
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