# LEWIS MEYERSON, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154512614
- **Authorized official:** DR. LEWIS AARON MEYERSON MD (OWNER)
- **Authorized official phone:** (636) 528-5281

## Contact information

- **Practice address:** 104 SARAH ANN BLVD, TROY, MO 63379-2038
- **Practice address phone:** (636) 528-5281
- **Practice address fax:** (636) 462-2637
- **Mailing address:** 104 SARAH ANN BLVD, TROY, MO 63379-2038
- **Mailing address phone:** (636) 528-5281
- **Mailing address fax:** (636) 462-2637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 106340 | MO | Yes |
| 207Q00000X | Family Medicine Physician | 2002021114 | MO | — |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 01/16/2008