Individual
THOMAS LEWELLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6970
(859) 260-6649
Mailing address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6970
(859) 260-6649
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
02835
KY
207VX0000X
Obstetrics Physician
Primary
02835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64077936
—
KY
Enumeration date
09/20/2005
Last updated
07/13/2016
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