Individual
FREDERICK C. LEWIS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 205-6917
Mailing address
814 GARLAND PL, SAINT LOUIS, MO 63122-1630
(608) 469-4458
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2006001776
MO
207L00000X
Anesthesiology Physician
46171
WI
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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