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NPI Code Detail

MEDICARE: DR. LEWIS B CHAIKIN M.D

MEDICARE:  DR. LEWIS B CHAIKIN  M.D
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
1208800000XUrology PhysicianME35345FL

General Provider Information

NPI Number : 1326054131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEWIS B CHAIKIN M.D
Provider Business Mailing Address
First Line : 4048 EVANS AVE STE 306
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9390
Country : US
Telephone Number : 239-433-3323
Fax Number :
Provider Business Practice Location Address
First Line : 4048 EVANS AVE STE 306
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9390
Country : US
Telephone Number : 239-433-3323
Fax Number : 239-433-7757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LEWIS B CHAIKIN M.D” Practice Location

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