Individual
ROBERT LIONEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, FNP-BC, LP
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4129
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
57391
TX
163W00000X
Registered Nurse
742585
TX
163W00000X
Registered Nurse
RN60022927
WA
363L00000X
Nurse Practitioner
Primary
742585
TX
363L00000X
Nurse Practitioner
AP122618
TX
363L00000X
Nurse Practitioner
AP60317795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F9332
MEDICARE
TX
05
—
332955907
—
TX
Enumeration date
11/08/2013
Last updated
10/14/2020
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