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NPI Code Detail

MEDICARE: LEWIS ROGATNICK MD

MEDICARE: LEWIS ROGATNICK 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
1208D00000XGeneral Practice Physician183426NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780680389
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEWIS ROGATNICK MD
Provider Business Mailing Address
First Line : 645 N MAIN ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-5017
Country : US
Telephone Number : 336-883-0029
Fax Number :
Provider Business Practice Location Address
First Line : 3801 W MARKET ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-1301
Country : US
Telephone Number : 336-883-0029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 02/03/2025

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Directions to “ LEWIS ROGATNICK MD” Practice Location

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