Individual
LUCAS LEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4100
(912) 303-3506
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 691-4100
(912) 303-3506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054769
GA LICENSE
GA
05
—
296610112B
—
GA
Enumeration date
09/15/2006
Last updated
07/19/2012
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