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Individual

DR. RONALD EDWARD LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
909 POWELL LN, FLATWOODS, KY 41139-1776
(606) 826-4717
Mailing address
909 POWELL LN, FLATWOODS, KY 41139-1776
(606) 836-4717

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4012
KY

Other

Enumeration date
02/29/2012
Last updated
02/29/2012
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