Lewis, Ronald J

Lewis, Ronald J is an individual health care provider with primary practice located at 912 Oxford Dr , St Augustine FL 32084-1807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lewis, Ronald J can be contacted via phone (859) 967-9758.

Contact Information

Primary practice address
912 Oxford Dr St Augustine FL 32084-1807
Phone: (859) 967-9758
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME46177 Florida

Profile Details

NPI number 1326080391
LBN Legal business name Lewis, Ronald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1326080391 NPPES
Alaska MEDICAID MD48081

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