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Contact Information

LAKE CUMBERLAND RHEUMATOLOGY PLLC
3897 CHARLESTOWN RD
NEW ALBANY, IN47150-9562
 Phone: 502-495-3665
 Fax: 502-874-5536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LAKE CUMBERLAND RHEUMATOLOGY PLLC

NPI # 1992528640
LBN Legal business name LAKE CUMBERLAND RHEUMATOLOGY PLLC
Authorized official MATT ROGERS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2024
Last updated 11/01/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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