Individual
DR. STEPHEN DOUGLAS LEWIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 E CARTHAGE ST, MEADE, KS 67864-6401
(620) 873-2112
(620) 873-5371
Mailing address
150 N MCLEAN BLVD APT 238, WICHITA, KS 67203-5940
(703) 378-2382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-007212
VA
363A00000X
Physician Assistant
Primary
15-02343
KS
363A00000X
Physician Assistant
PA55973
CA
Other
Enumeration date
06/01/2018
Last updated
06/10/2021
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