Individual
ERIC VAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
499 GLOSTER CREEK VLG STE G1, TUPELO, MS 38801-4751
(662) 377-2663
(662) 840-5856
Mailing address
4381 S EASON BLVD, SUITE 303, TUPELO, MS 38801-6583
(662) 840-5747
(662) 840-5856
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20824
MS
207XS0106X
Orthopaedic Hand Surgery Physician
20824
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07451813
—
MS
Enumeration date
08/07/2006
Last updated
01/26/2023
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