Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | S01081 | MD |
N | 111NR0200X | Radiology | 92 | MD |
N | 213ER0200X | Radiology | 92 | MD |
NPI | 1063418275 |
---|---|
Provider Name | Dr. Howard Franklin Lewis |
First Address | Fallston, MD 21047-2727 |
Second Address | Fallston, MD 21047-2727 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 04/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T04032 | (02) | MD |
T15500001 | CAREFIRST BCBS (01) | MD |