Individual
RICHARD LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11649 N PORT WASHINGTON RD STE 114, MEQUON, WI 53092-3461
(262) 235-3800
(262) 236-9726
Mailing address
11649 N PORT WASHINGTON RD STE 114, MEQUON, WI 53092-3461
(262) 235-3800
(262) 236-9726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36985
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32308200
—
WI
Enumeration date
02/09/2006
Last updated
04/10/2021
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