Individual
WILLIAM D LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
Mailing address
PO BOX 766, MOREHEAD, KY 40351-0766
(866) 871-7657
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34950
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341153
BC/BS INDIVIDUAL PIN NO
KY
05
—
64090293
—
KY
01
—
P00145367
RR MDCR INDIVIDUAL PIN NO
KY
Enumeration date
07/22/2005
Last updated
07/09/2007
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