Lewis, George Luke
Lewis, George Luke is an individual health care provider with primary practice located at 7900 Dallas Street , Fort Smith AR 72903-5690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lewis, George Luke can be contacted via phone (479) 242-6647.Contact Information
Primary practice address
7900 Dallas Street
Fort Smith AR 72903-5690
Phone: (479) 242-6647
Fax: (479) 250-0505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E-0459 | Arkansas |
Profile Details
| NPI number | 1417978958 |
|---|---|
| LBN Legal business name | Lewis, George Luke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Feb 4th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417978958 | NPPES |
| Arkansas | MEDICAID | 127364001 | |
| Arkansas | Other | 070007653 |
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