LAKESIDE PRIMARY CARE, PSC

SOMERSET, KY
NPI1043790983
Entity TypeOrganization
Authorized ContactTHURESA S CASH
Ap RN/Owner
606-341-1339
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
363LF0000X Nurse Practitioner, Family
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2018-08-20
Last Update Date2024-09-17
Business Address
LAKESIDE PRIMARY CARE, PSC
6470 S HWY 27
SOMERSET, KY 42501
Phone number: 606-341-1339
Mailing Address
LAKESIDE PRIMARY CARE, PSC
PO BOX 85
BURNSIDE, KY 42519
Phone number: 606-310-2640