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Individual
DR. JOHNATHAN W LEWIS
Active
Individual
DR. JOHNATHAN W LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3971
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000252732102
UNITED HEALTH CARE
—
01
—
05030029800
QUALCHOICE
AR
05
—
154567001
—
AR
01
—
7165646
AETNA
—
01
—
771003001
BREASTCARE
AR
01
—
P00229512
RAILROAD MEDICARE
—
Enumeration date
02/24/2006
Last updated
08/27/2024
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