MEDICARE: CAMERON LEWIS

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	163W00000X	Registered Nurse	R227005	MD

General Provider Information

NPI Number	:	1205793288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON LEWIS

Provider Business Mailing Address
First Line	:	5920 RIVER RD
Second Line	:
City	:	BRYANS ROAD
State	:	MD
Zip	:	20616-3104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 MACARTHUR BLVD
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-2901
Country	:	US
Telephone Number	:	219-836-1600
Fax Number	:

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

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “ CAMERON LEWIS ” Practice Location

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