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Individual

DR. JUSTIN ROBERT LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1481 W 10TH ST, RICHARD ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, RICHARD ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 46202-2803
(317) 554-0000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01073700A
IN
2085R0202X
Diagnostic Radiology Physician
15585
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020620
VT
05
3078200
NH
Enumeration date
06/16/2008
Last updated
01/13/2026
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