Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS (MD/OWNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
225 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 855-7200
(502) 855-7201
Mailing address
225 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 855-7200
(502) 855-7201
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/06/2020
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