MEDICARE: DR. RONALD L LEWERT DC

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
1	111N00000X	Chiropractor	CH0006274	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	22622	OTHER	BCBS
2	36288	OTHER	NHP
3	175137	OTHER	WELL CARE
4	206047	OTHER	AVMED
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0853147	OTHER	AETNA
7	175137	OTHER	HEALTHEASE
8	5803366	OTHER	GHI

General Provider Information

NPI Number	:	1679565675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD L LEWERT DC

Provider Business Mailing Address
First Line	:	7501 WILES RD
Second Line	:	SUITE 104
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2063
Country	:	US
Telephone Number	:	954-755-4994
Fax Number	:	954-755-4995

Provider Business Practice Location Address
First Line	:	7501 WILES RD
Second Line	:	SUITE 104
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2063
Country	:	US
Telephone Number	:	954-755-4994
Fax Number	:	954-755-4995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	03/08/2011

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Directions to “ DR. RONALD L LEWERT DC” Practice Location

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