MEDICARE: ROBERT S LEWIS 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
1	207RC0000X	Cardiovascular Disease Physician	08098R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	08098R	OTHER	LA	MD

General Provider Information

NPI Number	:	1093737728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT S LEWIS MD

Provider Business Mailing Address
First Line	:	1100 ANDRE ST
Second Line	:	SUITE 201
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-2159
Country	:	US
Telephone Number	:	337-364-8890
Fax Number	:	337-364-8552

Provider Business Practice Location Address
First Line	:	2308 E MAIN ST STE F
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4029
Country	:	US
Telephone Number	:	337-364-8890
Fax Number	:	337-364-8552

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/14/2020

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