Organization
LEWIS HARGETT MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS HARGETT MD (PHYISICAN)
(502) 366-8021
Entity
Organization
Contact information
Practice address
1900 BLUEGRASS AVE, STE 100, LOUISVILLE, KY 40215-1144
(502) 366-8021
(502) 366-8235
Mailing address
1900 BLUEGRASS AVE, STE 100, LOUISVILLE, KY 40215-1144
(502) 366-8021
(502) 366-8235
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01038361A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
KY26076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64260763
—
KY
Enumeration date
12/12/2011
Last updated
12/12/2011
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