Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35057551L | OH |
Y | 111NI0900X | Internist | 35057551L | OH |
N | 207RH0002X | Hospice and Palliative Medicine | 35.057551 | OH |
NPI | 1164404265 |
---|---|
Provider Name | Dr. Robert F Lewe SR. |
First Address | Columbus, OH 43214-3937 |
Second Address | Columbus, OH 43214-3937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 25/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0836911 | (05) | OH |
E85505 | (02) | OH |