NPI 1053550046
Lake Cumberland Physician Practices, LLC
Practice location
- Address
- 120 Tradepark Dr Suite B, Somerset, KY 42503-3454
- Phone
- (606) 451-0300
- Fax
- (606) 451-0595
Authorised official
- Name
- Sara Miller
- Title
- Director
- Phone
- (615) 920-7514
Registered specialties (2)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Surgical Physician Assistant
Registry record
- NPI
- 1053550046
- Entity type
- Organization
- NPI issued
- 13 Feb 2009
- Record last updated
- 27 Sep 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.