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NPI Code Detail

MEDICARE: DR. RICHARD VINCENT LEWIS DC

MEDICARE: DR. RICHARD VINCENT LEWIS DC
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
1111N00000XChiropractor1209NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108580OTHERNCBC BS
2330313OTHERUHC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649272048
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD VINCENT LEWIS DC
Provider Business Mailing Address
First Line : PO BOX 884
Second Line : 610 MAIN ST
City : CREEDMOOR
State : NC
Zip : 27522
Country : US
Telephone Number : 919-528-2665
Fax Number :
Provider Business Practice Location Address
First Line : 610 MAIN ST
Second Line :
City : CREEDMOOR
State : NC
Zip : 27522
Country : US
Telephone Number : 919-528-2665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 09/19/2014

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Directions to “ DR. RICHARD VINCENT LEWIS DC” Practice Location

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