Individual
MERRAL B LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W COLUMBIA ST, STE 440, EVANSVILLE, IN 47710-1782
(812) 425-2461
(812) 424-7254
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 425-2461
(812) 424-7254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027625A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242820
—
IN
Enumeration date
05/31/2005
Last updated
03/09/2011
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