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Organization

THOMAS L LEWELLEN DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS L LEWELLEN SR. DO (PHYSICIAN)
(870) 382-1188
Entity
Organization

Contact information

Practice address
105 W WATERMAN ST, DUMAS, AR 71639-2139
(870) 382-1188
(870) 382-4049
Mailing address
105 W WATERMAN ST, PO BOX 128, DUMAS, AR 71639-2139
(870) 382-1188
(870) 382-4049

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AR

Other

Enumeration date
11/10/2008
Last updated
04/10/2012
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