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Individual

PAUL R LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
391 W TOM T HALL BLVD, OLIVE HILL, KY 41164-7688
(606) 286-8039
(606) 286-6108
Mailing address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-5044
(606) 408-3611

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14170
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010064037
RR MEDICARE
KY
05
64141708
KY
Enumeration date
06/29/2006
Last updated
10/15/2009
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