Individual
ROBERT D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 SOUTHFORK RD, STE 205, SAINT LOUIS, MO 63128-3201
(314) 842-0582
(314) 842-6414
Mailing address
12700 SOUTHFORK RD, STE 205, SAINT LOUIS, MO 63128-3201
(314) 842-0582
(314) 842-6414
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R7002
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201040805
—
MO
Enumeration date
07/05/2005
Last updated
05/14/2010
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