Individual
DR. LEWIS WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME53446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063328300
—
FL
01
—
07509
BLUE CROSS/BLUE SHIELD
FL
01
—
202855
AMERIGROUP
FL
01
—
222125
STAYWELL
FL
01
—
4008151
CIGNA
FL
Enumeration date
01/20/2006
Last updated
09/07/2016
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