Lake Cumberland Physician Practices, LLC
NPI #1164832531 in Russell Springs, Kentucky
Provider Information
- NPI Number
- 1164832531
- Entity Type
- Organization
- Organization Name
- Lake Cumberland Physician Practices, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 6, 2014
- Last Updated
- Sep 27, 2017
Practice Location
- Address
- 72 JOE T PETTY DR
- City
- Russell Springs
- State
- Kentucky
- ZIP Code
- 42642-8533
- Phone
- (270) 866-7771
Authorized Official
- Name
- SARA MILLER
- Title
- DIRECTOR
- Phone
- (615) 920-7514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Family Medicine |
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