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NPI Code Detail

MEDICARE: LP CAMBRIDGE LLC

MEDICARE: LP CAMBRIDGE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility09-006MD

General Provider Information

NPI Number : 1114118494
Entity Type Code : Organization
Provider Name (Legal Business Name) : LP CAMBRIDGE LLC
Provider Business Mailing Address
First Line : 12201 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2361
Country : US
Telephone Number : 502-568-7800
Fax Number :
Provider Business Practice Location Address
First Line : 520 GLENBURN AVE
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1415
Country : US
Telephone Number : 410-228-9191
Fax Number : 410-228-8350
Authorized Official
Title or Position : CFO
Name : MR. JOHN HARRISON
Credential :
Telephone Number : 561-627-0664
Provider Enumeration Date : 08/05/2007
Last Update Date : 09/02/2022

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Directions to “LP CAMBRIDGE LLC ” Practice Location

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