John Randolph Lewis in Davenport - Cardiovascular Disease

John Randolph Lewis - NPI 1124007976

John Randolph Lewis is a Cardiovascular Disease in Davenport, Iowa. John Randolph Lewis practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John Randolph Lewis is 1124007976. The last update date is 2007-11-21.

John Randolph Lewis's current location address is 1236 E Rusholme St, Davenport, Iowa. You can contact this provider via phone number 5633242992 and fax number 5638880499. The mailing address for John Randolph Lewis is 1236 E Rusholme St, Davenport, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name John Randolph Lewis
Address 1236 E Rusholme St, Davenport, Iowa
Phone Number 5633242992
Fax Number 5638880499
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1124007976
Provider Enumeration Date 2006-01-11
Last Updated Date 2007-11-21

Provider Mailing Address Detail

Address 1236 E Rusholme St
City Davenport
State Iowa (IA)
Post Code 528032473
Phone Number 5633242992
Fax Number 5638880499

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 20857
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
156398 IA --

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FAQs about John Randolph Lewis

What is the unique 10-digit identification code assigned to John Randolph Lewis by the Centers for Medicare & Medicaid Services?

The John Randolph Lewis has been issued the NPI (National Provider Identifier) 1124007976, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where John Randolph Lewis's facilities are geographically located?

The facilities of John Randolph Lewis are physically situated at the following location: 1236 E Rusholme St, Davenport, IA, 528032473.

What is John Randolph Lewis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John Randolph Lewis is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.

When did the John Randolph Lewis receive its 1124007976?

The John Randolph Lewis was issued its 1124007976 on 2006-01-11, which is the date when the organization was assigned this unique identifier.

As of what date were the John Randolph Lewis's details last updated?

The information pertaining to the John Randolph Lewis, including its address, specialty, and other details, was most recently updated on 2007-11-21.

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