LILY CREEK MEDICAL GROUP, PSC

Internal Medicine

Active Organization
NPI: 1205987542

Practice Address

92 JOE T PETTY DR
Russell Springs, KY 42642

Phone: (270) 866-8881

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X No -
Nurse Practitioner 363L00000X No -
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1205987542 is the National Provider Identifier for LILY CREEK MEDICAL GROUP, PSC, a Internal Medicine provider located in Russell Springs, KY. This NPI was enumerated on January 15, 2007.

Quick Facts

NPI
1205987542
Type
Organization
Enumerated
Jan 15, 2007
Last Updated
Oct 30, 2008

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