Organization
SUMMIT MEDICAL GROUP, INC.
Active
Other names
St. Elizabeth Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN LOMIS (PRESIDENT/CEO)
(859) 344-3733
Entity
Organization
Contact information
Practice address
2765 CHAPEL PL, SU. 200, CRESTVIEW HILLS, KY 41017-3413
(859) 578-3400
(859) 957-0055
Mailing address
2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 41017-1673
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/31/2013
Last updated
11/27/2013
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