Individual
RONALD J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 OXFORD DR, ST AUGUSTINE, FL 32084-1807
(859) 967-9758
Mailing address
912 OXFORD DR, ST AUGUSTINE, FL 32084-1807
(859) 967-9758
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME46177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD48081
—
AK
Enumeration date
06/12/2006
Last updated
07/08/2007
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