Individual
DR. JOHN M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
209 S PERU ST, CICERO, IN 46034-9687
(317) 984-3578
(317) 984-3410
Mailing address
209 S PERU ST, CICERO, IN 46034-9687
(317) 984-3578
(317) 984-3410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001593
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072370A
—
IN
Enumeration date
03/27/2007
Last updated
06/19/2012
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