Individual
LEWIS RICHARD KANNWISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3115 PINE AVE, SUITE 202, WACO, TX 76708-3247
(254) 752-8328
(254) 752-7724
Mailing address
3115 PINE AVE, SUITE 202, WACO, TX 76708-3247
(254) 752-8328
(254) 752-7724
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D5055
TX
Other
Enumeration date
09/17/2006
Last updated
11/09/2007
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