Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARNES LEWIS MD (OWNER)
(502) 855-7200
Entity
Organization
Contact information
Practice address
2609 NEW HARTFORD RD, STE 3, OWENSBORO, KY 42303-1316
(812) 476-7111
(812) 476-7117
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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