Individual
DR. ROY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
982 DALE ST N, SAINT PAUL, MN 55117-5602
(651) 488-1332
(651) 488-1889
Mailing address
982 DALE ST N, SAINT PAUL, MN 55117-5602
(651) 488-1332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3053
MN
163W00000X
Registered Nurse
R 201129-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C067LE
BLUE CROSS BLUE SHIELD
MN
05
—
878528700
—
MN
Enumeration date
04/27/2006
Last updated
02/09/2017
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