Individual
MRS. ANGELA DAWN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1021 KENWOOD DR, RUSSELL, KY 41169
(606) 836-1954
(606) 836-3878
Mailing address
1021 KENWOOD DR, RUSSELL, KY 41169
(606) 836-1954
(606) 836-3878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY02545
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080127343
RAILROAD MEDICARE
KY
05
—
64025455
—
KY
Enumeration date
10/05/2006
Last updated
01/05/2011
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