Individual
MR. RONALD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
639 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Mailing address
639 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74297508
—
KY
Enumeration date
06/20/2005
Last updated
03/19/2008
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