Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS MD (OWNER)
(502) 855-3919
Entity
Organization
Contact information
Practice address
100 LONDON MOUNTAIN VIEW DR FL 1, LONDON, KY 40741-6668
(859) 275-5229
(859) 977-2683
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
01/03/2023
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