Lake Cumberland Physician Practices LLC

NPI #1104261403 in Somerset, Kentucky

Provider Information

NPI Number: 1104261403
Entity Type: Organization
Organization Name: Lake Cumberland Physician Practices LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: May 1, 2013
Last Updated: Sep 27, 2017

Practice Location

Address: 353 BOGLE ST
Address 2: SUITE B
City: Somerset
State: Kentucky
ZIP Code: 42503-2888
Phone: (606) 678-2663

Authorized Official

Name: SARA MILLER
Title: DIRECTOR
Phone: (615) 920-7514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Orthopaedic Surgery	207X00000X	Primary

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