Individual
DR. RICHARD VINCENT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
610 MAIN ST, CREEDMOOR, NC 27522
(919) 528-2665
Mailing address
PO BOX 884, 610 MAIN ST, CREEDMOOR, NC 27522
(919) 528-2665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08580
BC BS
NC
01
—
330313
UHC
—
05
—
8902238
—
NC
Enumeration date
08/15/2005
Last updated
09/19/2014
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