Individual
DR. RONALD MOORE LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2770 3RD AVE STE 350, LAKE CHARLES, LA 70601-0404
(337) 494-6800
(337) 494-6811
Mailing address
PO BOX 122205, DEPT 2205, DALLAS, TX 75312-2205
(337) 494-6897
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12248
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1695742
—
LA
01
—
MD.12248R
STATE MEDICAL LICENSE
LA
Enumeration date
02/27/2006
Last updated
02/24/2022
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