MEDICARE: DR. ERIN ASHLEY LEWIS DPM

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	390200000X	Student in an Organized Health Care Education/Training Program
2	213E00000X	Podiatrist	2022013480	MO

General Provider Information

NPI Number	:	1700348604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN ASHLEY LEWIS DPM

Provider Business Mailing Address
First Line	:	1010 CARONDELET DR
Second Line	:	SUITE 301
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4859
Country	:	US
Telephone Number	:	816-943-1111
Fax Number	:	816-943-1126

Provider Business Practice Location Address
First Line	:	1010 CARONDELET DR STE 301
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4823
Country	:	US
Telephone Number	:	816-943-1111
Fax Number	:	816-943-1126

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

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	10/12/2022

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