Individual
RONALD EDWIN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
(405) 275-5132
Mailing address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
(405) 275-5132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0093888
OK
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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