| Dwight E Lewis, Md, Psc | |
|
1210 Ky Highway 36 E Suite 1b Cynthiana KY 41031-7490 | |
| (859) 234-1173 | |
| (859) 234-1852 |
| Full Name | Dwight E Lewis, Md, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1210 Ky Highway 36 E, Cynthiana, Kentucky |
| Authorized Official Name and Position | Dwight E Lewis (OWNER PHYSICIAN) |
| Authorized Official Contact | 8592341173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight E Lewis, Md, Psc 1210 Ky Highway 36 E Suite 1b Cynthiana KY 41031-7490 Ph: (859) 234-1173 | Dwight E Lewis, Md, Psc 1210 Ky Highway 36 E Suite 1b Cynthiana KY 41031-7490 Ph: (859) 234-1173 |
| NPI Number | 1548476690 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 04/11/2016 |
| Medicare PECOS PAC ID | 7719013192 |
|---|---|
| Medicare Enrollment ID | O20100325000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548476690 | NPI | - | NPPES |
| 65928350 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dwight E Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790793164 PECOS PAC ID: 2466588843 Enrollment ID: I20100325000440 |
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