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Individual

ROBERT LEE LEWIS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 HOSPITAL DR, SUITE 1208, HURRICANE, WV 25526-8706
(304) 757-5455
(304) 757-5467
Mailing address
1208 HOSPITAL DR, HURRICANE, WV 25526-8708
(304) 757-5747
(304) 757-5744

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21243
WV
2084N0600X
Clinical Neurophysiology Physician
21243
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721671
BCBS
WV
05
2006799000
WV
05
2454544
OH
Enumeration date
09/24/2006
Last updated
12/23/2015
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