| NPI | 1760616676 |
|---|---|
| Doing Business As | LAKE CUMBERLAND REGIONAL PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID WEBER President 606-676-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |