| NPI | 1982073813 |
|---|---|
| Doing Business As | LAKE CUMBERLAND UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Director 615-920-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2017-09-27 |