Individual
DR. IVY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 AUDUBON PLAZA DR STE LL2, LOUISVILLE, KY 40217-1360
(502) 637-3311
(502) 637-3168
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56791
KY
208600000X
Surgery Physician
87156
MT
Other
Enumeration date
04/07/2015
Last updated
09/06/2024
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