Individual
DR. DONALD LEWIS PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7310
(724) 983-2797
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.048139
OH
207L00000X
Anesthesiology Physician
Primary
MD435769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000594277
ANTHEM BCBS
OH
01
—
000777135
HIGHMARK BCBS
PA
05
—
0010901000006
—
PA
05
—
0614633
—
OH
01
—
138640ZB29
MEDICARE PTAN
PA
01
—
P00689370
MEDICARE RAILROAD
PA
Enumeration date
09/13/2005
Last updated
03/24/2015
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