Individual
PAUL WESLEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Mailing address
2754 SOLUTION CTR, CHICAGO, IL 60677-2007
(606) 408-6200
(606) 408-4775
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
32242
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
32242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050248
—
OH
05
—
64961915
—
KY
05
—
7200076000
—
WV
Enumeration date
11/08/2006
Last updated
01/24/2024
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