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Individual

LEWIS A LANDSMAN II

Active
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Individual

LEWIS A LANDSMAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02821
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y2310
BCBS INDIVIDUAL
TX
01
—
DD5409
RAILROAD MEDICARE GROUP
TX
01
—
PA02821
PHYSICIAN ASST
TX
Enumeration date
10/05/2006
Last updated
03/17/2018
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