Lewis, David Warren

Lewis, David Warren is an individual health care provider with primary practice located at 2360 E Pershing Blvd , Cheyenne WY 82001-5356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lewis, David Warren can be contacted via phone (307) 778-7550.

Contact Information

Primary practice address
2360 E Pershing Blvd Cheyenne WY 82001-5356
Fax: (307) 778-7510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X MD18920 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00049252 Washington

Profile Details

NPI number 1720061047
LBN Legal business name Lewis, David Warren
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jan 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720061047 NPPES
Washington MEDICAID 8264426

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