Organization
DWIGHT E LEWIS, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT E LEWIS M.D. (OWNER PHYSICIAN)
(859) 234-1173
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36 E, SUITE 1B, CYNTHIANA, KY 41031-7490
(859) 234-1173
(859) 234-1852
Mailing address
1210 KY HIGHWAY 36 E, SUITE 1B, CYNTHIANA, KY 41031-7490
(859) 234-1173
(859) 234-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928350
—
KY
Enumeration date
05/15/2007
Last updated
04/11/2016
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