Lewis, John Derek

Lewis, John Derek is an individual health care provider with primary practice located at W231N1440 Corporate Ct , Waukesha WI 53186-1503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lewis, John Derek can be contacted via phone (262) 896-6000.

Contact Information

Primary practice address
W231N1440 Corporate Ct Waukesha WI 53186-1503
Phone: (262) 896-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036125315 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 55883 Wisconsin

Profile Details

NPI number 1396916656
LBN Legal business name Lewis, John Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated May 7th, 2024 - about 4 months 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 1396916656 NPPES
Wisconsin MEDICAID 100022915

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