Individual
GARY W LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 WEST AVE, MOUNT WASHINGTON, KY 40047-7636
(502) 664-7533
Mailing address
211 WEST AVE, MOUNT WASHINGTON, KY 40047-7636
(502) 664-7533
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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