Lily Creek Medical Group, Psc

NPI 1205987542 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1205987542
Enumeration Date 01/15/2007
Last Updated 10/30/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT L. ROBERT
Position PRESIDENT
Phone (270) 866-8881
Fax (270) 866-8849
Practice Location
92 JOE T PETTY DR
RUSSELL SPRINGS KY, 42642-8543, US
Phone (270) 866-8881
Fax (270) 866-8849
Business Location
PO BOX 5007
FRANKFORT KY, 40602-5007, US
Phone (502) 226-3858
Fax (502) 223-9829
Toxanomy
Taxonomy Code 363LF0000X
License State
License Number
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According to our database, Lily Creek Medical Group, Psc NPI is 1205987542, taxonomy code is 363LF0000X Lily Creek Medical Group, Psc physically located at 92 Joe T Petty Dr, Russell Springs KY, 42642-8543. NPI Number 1033115704 has the healthcare provider type.

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1205987542 NPI number is provided on an as is basis without warranty of any kind. 1205987542 is maintained by the National Plan & Provider Enumeration System. The contents of Lily Creek Medical Group, Psc are for informational purposes only.