LCBG, LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

LCBG, LLC

Practice address

830 Fairview Ave
Bowling Green, KY 42101-4911

Phone

(270) 999-6803

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tina Marie Hunt

Title

Clinic Manager

Phone

(270) 999-6803

Specialties & licenses 1

Addresses

Other names 1

• Lice Clinic of America Bowling Green Other name

Locations

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1790392843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FAIRVIEW AVE STE A4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014911",
            "telephone_number": "270-999-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FAIRVIEW AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014911",
            "telephone_number": "270-999-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCBG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "270-999-6803",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lice Clinic of America Bowling Green",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Other Technician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Other Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.