Individual
LEWIS HARGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 BLUEGRASS AVE, STE 100, LOUISVILLE, KY 40215
(502) 366-8021
(502) 366-8235
Mailing address
PO BOX 39096, LOUISVILLE, KY 40233
(502) 366-8021
(502) 366-8235
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050830
ANTHEM
—
01
—
000000060675
BLUECROSS
—
01
—
101848640599
MEDICAID OF INDIANA
—
01
—
1051604
PASSPORT
—
01
—
1593613
CIGNA
—
01
—
244240
MEDICARE OF INDIANA
—
01
—
250005373
MEDICARE RAILROAD
—
01
—
611273436
AARP
—
05
—
64260763
—
KY
Enumeration date
10/05/2006
Last updated
10/07/2014
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