Healthcare Provider Details
I. General information
NPI: 1750488961
Provider Name (Legal Business Name): LEWIS FAMILY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6628 US ROUTE 60
ASHLAND KY
41102-6523
US
IV. Provider business mailing address
6628 US ROUTE 60
ASHLAND KY
41102-6523
US
V. Phone/Fax
- Phone: 606-928-7755
- Fax: 606-928-0052
- Phone: 606-928-7755
- Fax: 606-928-0052
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATASHA
GEARHEART
Title or Position: AUTHORIZED OFFICIAL
Credential: LPN
Phone: 606-928-7755