| NPI | 1174091383 |
|---|---|
| Doing Business As | GASTROENTEROLOGY OF LAKE CUMBERLAND |
| Entity Type | Organization |
| Authorized Contact | SHARLEE LEBLEU Sr. Director 615-920-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |