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Individual

RICHARD LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4915 NORTON HEALTHCARE BLVD STE 301, LOUISVILLE, KY 40241-2866
(502) 394-6390
(502) 394-6388
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
01088363A
IN
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
57257
KY
2084N0400X
Neurology Physician
01088363A
IN
2084N0400X
Neurology Physician
57257
KY
2084N0400X
Neurology Physician
84326
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300067716
IN
05
7100854540
KY
01
K411410
MEDICARE
KY
Enumeration date
04/01/2015
Last updated
09/06/2024
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