| NPI | 1841424611 | 
|---|---|
| Doing Business As | PLASTIC SURGERY OF LAKE CUMBERLAND | 
| Entity Type | Organization | 
| Authorized Contact | SARA MILLER Director 615-920-7514  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery | 
| Enumeration Date | 2009-05-08 | 
| Last Update Date | 2017-09-27 |