Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 180323 | NY |
N | 111NI0900X | Internist | 180323 | NY |
Y | 207RG0300X | Geriatric Medicine | 21459 | NH |
N | 207RG0300X | Geriatric Medicine | EL05710 | NH |
NPI | 1023158268 |
---|---|
Provider Name | Dr. Stuart D Lewis |
First Address | Lebanon, NH 03756-0001 |
Second Address | Lebanon, NH 03756-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 18/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F91899 | (02) | NY |