Individual
DR. JAMES ANDREW LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HASTING INDIAN MEDICAL CENTER, 100 S. BLISS, TAHLEQUAH, OK 74464
(918) 458-3120
(918) 458-3279
Mailing address
HASTING INDIAN MEDICAL CENTER, 100 S. BLISS, TAHLEQUAH, OK 74464
(918) 458-3120
(918) 458-3279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10026
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10038540A
—
OK
05
—
150304001
—
AR
Enumeration date
11/09/2005
Last updated
06/29/2011
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