Individual
CARLTON JOHN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 MEDICAL CENTER BLVD, SUITE I, LUFKIN, TX 75904-3173
(936) 699-3161
(936) 699-3162
Mailing address
10 MEDICAL CENTER BLVD STE I, LUFKIN, TX 75904-3163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155879301
—
TX
Enumeration date
10/04/2005
Last updated
05/11/2016
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