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NPI Code Detail

MEDICARE: JAMES M. LEWIS M.D.

MEDICARE:   JAMES M. LEWIS  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
1207Q00000XFamily Medicine Physician16028WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326057639
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES M. LEWIS M.D.
Provider Business Mailing Address
First Line : 323 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1401
Country : US
Telephone Number : 920-746-0510
Fax Number :
Provider Business Practice Location Address
First Line : 3711 STATE HIGHWAY 42
Second Line :
City : FISH CREEK
State : WI
Zip : 54212-9630
Country : US
Telephone Number : 920-868-3511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 02/21/2014

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Directions to “ JAMES M. LEWIS M.D.” Practice Location

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