Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2014-01438 | NC |
Y | 207V00000X | Obstetrician & Gynecologist | 49583 | KY |
NPI | 1003131889 |
---|---|
Provider Name | Lauren Simel Lewis |
First Address | Louisville, KY 40207-4660 |
Second Address | Louisville, KY 40207-4660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2010 |
Last Update Date | 28/09/2016 |