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Individual

DR. HAL AARON LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 FINANCIAL PARK, CARBONDALE, IL 62902-7537
(618) 351-9140
(618) 351-9143
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036154695
IL
207N00000X
Dermatology Physician
2018013216
MO

Other

Enumeration date
05/10/2017
Last updated
08/25/2021
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