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NPI Code Detail

MEDICARE: PAUL R LEWIS MD

MEDICARE: PAUL R 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
1207Q00000XFamily Medicine Physician14170KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010064037OTHERKYRR 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 : 1134157852
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL R LEWIS MD
Provider Business Mailing Address
First Line : 2201 LEXINGTON AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2843
Country : US
Telephone Number : 606-408-5044
Fax Number : 606-408-3611
Provider Business Practice Location Address
First Line : 391 W TOM T HALL BLVD
Second Line :
City : OLIVE HILL
State : KY
Zip : 41164-7688
Country : US
Telephone Number : 606-286-8039
Fax Number : 606-286-6108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 10/15/2009

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