Individual
DR. LEWIS J THOMAS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-6427
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-8200
(314) 454-5244
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2020025237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200087382
—
MO
Enumeration date
05/02/2012
Last updated
09/11/2025
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