Individual
DWIGHT E LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 KY HIGHWAY 36 E, SUITE 1B, CYNTHIANA, KY 41031-7490
(859) 234-1173
(859) 234-1852
Mailing address
1210 KY HIGHWAY 36 E, SUITE 1B, CYNTHIANA, KY 41031-7490
(859) 234-1173
(859) 234-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23897
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64238975
—
KY
Enumeration date
08/03/2006
Last updated
03/02/2016
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