MEDICARE: LAKE CUMBERLAND RHEUMATOLOGY, PLLC

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1225991177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKE CUMBERLAND RHEUMATOLOGY, PLLC

Provider Business Mailing Address
First Line	:	3897 CHARLESTOWN RD
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-9562
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 S HWY 27, SUITE 4
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42501
Country	:	US
Telephone Number	:	502-495-3665
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, RCM
Name	:	TRUDY K REISTER
Credential	:
Telephone Number	:	502-351-6984

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1780039537 — MALLORY MCINTOSH LCSW
Practice Location Address:

600 MONTICELLO ST
SOMERSET, KY
42501-2974

Practice Phone: 606-401-2966
Practice Fax: 606-244-4111

1801573001 — DANIEL R ELLENBERG MA, NCC, LPCA
Practice Location Address:

3085 S HIGHWAY 27 STE 1
SOMERSET, KY
42501-3013

Practice Phone: 859-414-6111
Practice Fax:

1386051068 — SARA BETH PENCE APRN, FNP-BC
Practice Location Address:

310 W COLUMBIA ST
SOMERSET, KY
42501-1618

Practice Phone: 606-331-5328
Practice Fax: 859-207-6700

1144927914 — HEATHER RENEE GRANT
Practice Location Address:

105 COLLEGE ST STE D
SOMERSET, KY
42501-1307

Practice Phone: 606-677-2636
Practice Fax:

1649135286 — REBECCA STOGNER
Practice Location Address:

200 BELMONT AVE
SOMERSET, KY
42501-2419

Practice Phone: 606-687-2038
Practice Fax: 606-200-3654

1174091490 — MICHELLE LOVELESS
Practice Location Address:

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
42501-3124

Practice Phone: 606-679-1815
Practice Fax:

Directions to “LAKE CUMBERLAND RHEUMATOLOGY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.