Individual
STEPHEN A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 343-9923
(304) 343-9925
Mailing address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 343-9923
(304) 343-9925
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15597
WV
207RI0011X
Interventional Cardiology Physician
15597
WV
207RI0011X
Interventional Cardiology Physician
Primary
C0955
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085657000
—
WV
01
—
CO955
KY LICENSE
KY
01
—
P01067370
MEDICARE RAILROAD
WV
Enumeration date
02/22/2006
Last updated
10/10/2023
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