Individual
DR. RANDALL S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 KIMBERLY CIR, EUGENE, OR 97405-5821
(541) 654-1545
Mailing address
PO BOX 51270, EUGENE, OR 97405-0905
(541) 654-1545
(541) 687-6154
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD10258
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242065
—
OR
Enumeration date
03/01/2006
Last updated
11/25/2019
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