Individual
DR. MARC K LEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 HOSPITAL DR, STE 100, SAINT PETERS, MO 63376-1659
(636) 916-7272
(636) 916-7274
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MOR8B61
MO
207RI0011X
Interventional Cardiology Physician
R8B61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242368009
—
MO
Enumeration date
06/12/2006
Last updated
06/18/2024
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