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NPI Code Detail

MEDICARE: DR. FREDRICK ROBERT LEWCOCK D.D.S.

MEDICARE: DR. FREDRICK ROBERT LEWCOCK D.D.S.
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
1122300000XDentist22163TX

General Provider Information

NPI Number : 1558446062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDRICK ROBERT LEWCOCK D.D.S.
Provider Business Mailing Address
First Line : 119 E OLD SETTLERS BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2211
Country : US
Telephone Number : 512-310-7303
Fax Number :
Provider Business Practice Location Address
First Line : 119 E OLD SETTLERS BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2211
Country : US
Telephone Number : 512-310-7303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 01/12/2022

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Directions to “ DR. FREDRICK ROBERT LEWCOCK D.D.S.” Practice Location

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