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Individual
CLIFTON THOMAS PANNELL LEWIS
Active
Individual
CLIFTON THOMAS PANNELL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
11515
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME55952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062435700
—
FL
01
—
09926
BCBS PROVIDER #
FL
01
—
P00031559
RAILROAD MEDICARE PROVIDE
FL
Enumeration date
06/10/2005
Last updated
04/21/2023
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