Organization Active NPI

Laurel County Sobriety Center PLLC

  • Addiction Medicine (Family Medicine) Physician
  • London, KY
National Provider Identifier
1548533482
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
LAUREL COUNTY SOBRIETY CENTER PLLC
Practice address
1658 East 192 Bypass
London, KY 40741
Phone
(606) 312-3345
Fax
(859) 985-0413
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lonnie Hubbard, PHARM D
Title
Pharmacist & Owner
Phone
(606) 312-3345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

1658 East 192 Bypass
London, KY 40741

Mailing address

1658 East 192 Bypass
London, KY 40741
Phone (606) 312-3345

Other names 1

  • Sobriety Center Doing business as

National Provider Directory

National Provider Directory

Locations

1658 Highway 192 E
London, KY 40741
Phone (606) 312-3345

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1548533482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 EAST 192 BYPASS",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-312-3345",
            "fax_number": "859-985-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 EAST 192 BYPASS",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-312-3345",
            "fax_number": "859-985-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL COUNTY SOBRIETY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "PHARMACIST & OWNER",
        "authorized_official_telephone_number": "606-312-3345",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sobriety Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.