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Individual

CARL N LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 437-8390
(850) 437-8394
Mailing address
PO BOX 10824, BIRMINGHAM, AL 35202-0824
(205) 322-1808
(205) 322-1851

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2084562
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009923481
AL
05
303810600
FL
01
59180759
BCBS
AL
01
59180988
BCBS
AL
01
G1589
BCBS
FL
Enumeration date
05/17/2006
Last updated
07/08/2007
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