Organization
NORTON ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E LILLY (DIRECTOR OF FINANCE)
(502) 636-7005
Entity
Organization
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7005
(502) 636-7269
Mailing address
DEPT 86236, PO BOX 950195, LOUISVILLE, KY 40295-0195
(502) 473-2100
(502) 459-6461
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65940983
—
KY
05
—
74900762
—
KY
Enumeration date
12/29/2005
Last updated
10/11/2007
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