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NPI Code Detail

MEDICARE: DOUGLAS LEWIS

MEDICARE: DOUGLAS LEWIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker00001247KY

General Provider Information

NPI Number : 1124732672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS LEWIS
Provider Business Mailing Address
First Line : PO BOX 790
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0790
Country : US
Telephone Number : 606-329-8588
Fax Number :
Provider Business Practice Location Address
First Line : 201 22ND ST
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7803
Country : US
Telephone Number : 866-233-1955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2023
Last Update Date : 02/02/2026

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Directions to “ DOUGLAS LEWIS ” Practice Location

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