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LAKE CUMBERLAND PHYSICIAN PRACTICES LLC NPI 1124441274


NPI Information

NPI: 1124441274
Provider Name: LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

Doing Business As: LAKE CUMBERLAND HEMATOLOGY & ONCOLOGY CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 18D1052890

Address:
401 BOGLE ST
SUITE 101
SOMERSET, KY
ZIP 42503
Phone: (606) 676-0275
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LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC is a hematology and oncology internal medicine in Somerset, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC NPI is 1124441274. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Cumberland Hematology & Oncology Center.

The provider's business location address is:

401 BOGLE ST
SUITE 101
SOMERSET, KY
ZIP 42503-823
Phone: (606) 676-0275
Fax: (606) 676-0295

The provider's authorized official is Monica Bowman .
The authorized official title is Director and has the following contact phone number (159) 207-0006.

The CLIA number assigned to this NPI record is 18D1052890 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/27/2014 and was last updated on 2/2/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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