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Individual
DR. GREGORY C LEWIS
Active
Individual
DR. GREGORY C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01471
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4334359
AETNA PROVIDER NUMBER
MD
01
—
KD80
BC OF MD ID
MD
01
—
T2200003
BLUE CROSS ID
MD
Enumeration date
10/02/2006
Last updated
07/08/2007
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