Individual
ALLEN LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 STATE HIGHWAY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2425
(662) 538-2593
Mailing address
200 STATE HIGHWAY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2425
(662) 538-2593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18677
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03153525
—
MS
Enumeration date
05/09/2006
Last updated
02/28/2008
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