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Organization

COMMONWEALTH PAIN ASSOCIATES, PLLC

Active
Other names
Commonwealth Pain & Spine
Organization subpart
No

Provider details

NPI number
Authorized official
JASON CARNES LEWIS (OWNER)
(502) 855-3919
Entity
Organization

Contact information

Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(812) 476-7111
(812) 476-7117
Mailing address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
(502) 409-9925

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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