NPI 1437614633
Pinelake Physician Practice LLC
Practice location
- Address
- 106 W Clay St, Clinton, KY 42031-1317
- Phone
- (270) 653-0220
- Fax
- (270) 653-0221
- Mailing address
- 330 Seven Springs Way, Brentwood, TN 37027-5098
Authorised official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7688
Registered specialties (5)
Rural Health Clinic/Center
Primary
Family Medicine Physician
Obstetrics Physician
Nurse Practitioner
Family Nurse Practitioner
Registry record
- NPI
- 1437614633
- Entity type
- Organization
- NPI issued
- 1 Feb 2019
- Record last updated
- 16 Jul 2026
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.