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Individual

KARL C LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
58 CARROLL AND TATE STREETS, CALL BOX 3600, LEBANON, VA 24266
(276) 883-8000
(276) 889-4336
Mailing address
58 CARROLL AND TATE STREETS, CALL BOX 3600, LEBANON, VA 24266
(276) 883-8000
(276) 889-4336

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101034533
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588762611
VA
05
64027030
KY
Enumeration date
09/20/2006
Last updated
04/13/2011
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