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LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

Organization (NPI-2) Active

Urology

Provider Information

NPI Number
1982073813
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
30 MEDPARK SQUARE SUITE 1, SOMERSET, KY, 425031709
Phone
(606) 451-0485
Fax
(606) 451-0229

Specialties & Taxonomies

Physician Assistant
Urology Primary

All Addresses

LOCATION

30 MEDPARK SQUARE SUITE 1

SOMERSET, KY, 425031709

(606) 451-0485

MAILING

PO BOX 719

SOMERSET, KY, 425020719

(606) 451-0485