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Organization

LOUISVILLE EMERGENCY MEDICINE ASSOCIATES PSC

Active
Other names
Louisville Emergency Medicine Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN T LUNDQUIST MD (PRESIDENT)
(502) 899-7646
Entity
Organization

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 899-7646
(502) 899-7648
Mailing address
PO BOX 6749, LOUISVILLE, KY 40206-0749
(502) 899-7646
(502) 899-7648

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000059904
ANTHEM/BLUE CROSS GROUP #
KY
01
1048952
PASSPORT GROUP #
KY
05
65917445
KY
Enumeration date
05/10/2006
Last updated
12/10/2013
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