Organization
LOUISVILLE EYE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINA LOGAN (VICE PRESIDENT)
(615) 240-3740
Entity
Organization
Contact information
Practice address
9202 LEESGATE RD, LOUISVILLE, KY 40222-5001
(502) 637-4800
(502) 637-1550
Mailing address
1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN 37215-6187
(615) 922-6145
(615) 490-0145
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
06/26/2020
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