Individual
THOMAS L LEWELLEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
105 W WATERMAN ST, DUMAS, AR 71639-2139
(870) 382-1188
(870) 382-4049
Mailing address
PO BOX 128, 105 W WATERMAN, DUMAS, AR 71639-0128
(870) 382-1188
(870) 382-4049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N5891
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102105003
—
AR
Enumeration date
10/31/2006
Last updated
06/18/2012
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