Lewis, Lawrence

Lewis, Lawrence is an individual health care provider with primary practice located at 829 State Hwy , Bethel AK 99559. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lewis, Lawrence can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 State Hwy Bethel AK 99559
Fax:
Website:

Health care specialties

Profile Details

NPI number 1023286044
LBN Legal business name Lewis, Lawrence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Aug 8th, 2012 - about 14 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 1023286044 NPPES
Alaska MEDICAID MH0150

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