| Organization Name: | LAKE CUMBERLAND DISTRICT HEALTH DEPT |
| NPI Number: | 1174668222 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN D. CRABTREE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 605 Albany Rd Monticello |
| State: | KY US |
| Postal Code: | 426331085 |
| Phone Number: | 6063484251 |
| Fax Number: | 6063480168 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |