Individual
DR. JOSEPH D. LEWIS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-777 LANIKUAKAA ST, AIEA, HI 96701-2777
(808) 484-9109
(808) 485-1976
Mailing address
98-777 LANIKUAKAA ST, AIEA, HI 96701-2777
(808) 484-9109
(808) 485-1976
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD5830
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02452903
—
HI
05
—
02452908
—
HI
05
—
02452909
—
HI
01
—
A002
TRICARE PROVIDER NUMBER
HI
Enumeration date
07/03/2006
Last updated
06/04/2008
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