Individual
EDWARD R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9630 N BRADFORD AVE, KANSAS CITY, MO 64154-1722
(816) 405-2760
(816) 891-7481
Mailing address
9630 N BRADFORD AVE, KANSAS CITY, MO 64154-1722
(816) 405-2760
(816) 891-7481
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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