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ERNEST C LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2115 S FREMONT AVE, SUITE 1000, SPRINGFIELD, MO 65804-2239
(417) 820-8099
(417) 820-8093
Mailing address
PO BOX 13453, GREEN BAY, WI 54307-3453
(920) 432-6049
(920) 884-3271

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
2008020485
MO
207RX0202X
Medical Oncology Physician
4301082745
MI
207RX0202X
Medical Oncology Physician
Primary
46104
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104541760
MI
05
172426001
AR
05
34436200
WI
01
EL082745
BCBS MI
MI
01
P00635672
TRAVELERS RR MEDICARE
MO
Enumeration date
10/03/2006
Last updated
12/04/2008
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