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Individual
DR. RYAN K LEWIS
Active
Individual
DR. RYAN K LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38009982
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038009982
—
IL
01
—
183345
BLUE CROSS BLUE SHIELD
MO
01
—
567876
HEALTHLINK
IL
01
—
6032078
BLUE CROSS BLUE SHIELD
IL
01
—
P00107987
RAILROAD MEDICARE
IL
Enumeration date
07/07/2006
Last updated
04/22/2008
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