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NPI Code Detail

MEDICARE: LEWE S. WEST MD

MEDICARE: LEWE S. WEST MD
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
1207R00000XInternal Medicine Physician8586AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110087059OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265435341
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEWE S. WEST MD
Provider Business Mailing Address
First Line : 210 WESTSIDE DR
Second Line :
City : DOTHAN
State : AL
Zip : 36303-1928
Country : US
Telephone Number : 334-793-5074
Fax Number : 334-793-6460
Provider Business Practice Location Address
First Line : 210 WESTSIDE DR
Second Line :
City : DOTHAN
State : AL
Zip : 36303-1928
Country : US
Telephone Number : 334-793-5074
Fax Number : 334-793-6460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 12/16/2009

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Directions to “ LEWE S. WEST MD” Practice Location

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