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Individual

DR. PETER M. LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4000 MIAMISBURG CENTERVILLE RD, SUTIE 100, MIAMISBURG, OH 45342-7615
(937) 866-0637
(937) 866-6713
Mailing address
4000 MIAMISBURG CENTERVILLE RD STE 100, MIAMISBURG, OH 45342-7615
(937) 866-0637
(937) 866-6713

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
340004753
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000223050
ANTHEM BC/BS
OH
05
0898195
OH
01
P00058864
RAILROAD MEDICARE
Enumeration date
11/21/2005
Last updated
01/18/2021
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