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Individual

MR. JOHN STRUDWICK LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4130 DUTCHMANS LN, STE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 238-1286
Mailing address
4130 DUTCHMANS LN, STE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 238-1286

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01077284A
IN
207X00000X
Orthopaedic Surgery Physician
2015-00487
NC
207X00000X
Orthopaedic Surgery Physician
Primary
49582
KY
207X00000X
Orthopaedic Surgery Physician
99073144A
IN
207X00000X
Orthopaedic Surgery Physician
TP263
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346566775
NC
05
201360210
IN
05
7100416000
KY
05
NC2399
SC
Enumeration date
04/09/2010
Last updated
09/21/2016
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