Individual
DR. GREGORY C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
403 MALCOLM DR, WESTMINSTER, MD 21157-6107
(410) 876-8885
(410) 876-5961
Mailing address
403 MALCOLM DR, WESTMINSTER, MD 21157-6107
(410) 876-8885
(410) 876-5961
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01471
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4334359
AETNA PROVIDER NUMBER
MD
01
—
KD80
BC OF MD ID
MD
01
—
T2200003
BLUE CROSS ID
MD
Enumeration date
10/02/2006
Last updated
07/08/2007
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