# LEWIS MEYERSON, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meyerson Medical and Professional Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588841944
- **Authorized official:** LINDA M SUMNER (OFFICE MANAGER)
- **Authorized official phone:** (636) 528-5281

## Contact information

- **Practice address:** 104 SARAH ANN BOULEVARD, TROY, MO 63379-0185
- **Practice address phone:** (636) 528-5281
- **Practice address fax:** (636) 462-2637
- **Mailing address:** 104 SARAH ANN BOULEVARD, TROY, MO 63379-0185
- **Mailing address phone:** (636) 528-5281
- **Mailing address fax:** (636) 462-2637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008