Individual
LEWIS HARVEY ROBERSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10620 PARK RD, STE 202, CHARLOTTE, NC 28210-8472
(704) 667-0920
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036171702
IL
207Q00000X
Family Medicine Physician
84564-20
WI
207Q00000X
Family Medicine Physician
Primary
9500705
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295161
—
WI
Enumeration date
01/04/2006
Last updated
02/26/2025
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