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NPI Code Detail

MEDICARE: ROGER LEWIS

MEDICARE: ROGER LEWIS
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1770427890
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER LEWIS
Provider Business Mailing Address
First Line : 801 NW 118TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7930
Country : US
Telephone Number : 572-998-2341
Fax Number :
Provider Business Practice Location Address
First Line : 801 NW 118TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7930
Country : US
Telephone Number : 572-998-2341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ ROGER LEWIS ” Practice Location

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