Organization
CPS - ELIZABETHTOWN ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEWIS MD (OWNER)
(502) 855-7200
Entity
Organization
Contact information
Practice address
1141 CROWN POINTE DR, ELIZABETHTOWN, KY 42701
(270) 506-3300
(270) 506-2843
Mailing address
223 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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