Individual
DR. LAWRENCE K. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 BARCLAY DR, MADISON, GA 30650-4621
(706) 342-1561
(706) 342-3917
Mailing address
PO BOX 552, MADISON, GA 30650-0552
(706) 342-1561
(706) 342-3917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
007834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011217C
—
GA
Enumeration date
03/05/2007
Last updated
07/08/2007
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