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Individual
DR. ROY LEWIS
Active
Individual
DR. ROY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3053
MN
163W00000X
Registered Nurse
R 201129-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C067LE
BLUE CROSS BLUE SHIELD
MN
05
—
878528700
—
MN
Enumeration date
04/27/2006
Last updated
02/09/2017
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