Individual
JAMES M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2915 REAR 3RD AVE, HUNTINGTON, WV 25702
(304) 691-8921
(304) 691-1375
Mailing address
1600 MEDICAL CENTER DRIVE, SUITE 3500, HUNTINGTON, WV 25701
(304) 691-1300
(304) 691-1375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13719
WV
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
13719
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112591000
—
WV
05
—
0540187
—
OH
05
—
64695463
—
KY
Enumeration date
04/14/2006
Last updated
12/29/2021
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