Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D39759 | MD |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D39759 | MD |
NPI | 1740224930 |
---|---|
Provider Name | Lew C Schon |
First Address | Baltimore, MD 21218 |
Second Address | Baltimore, MD 21218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 27/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
42618704 | BCBS (01) | MD |
87576 | (05) | MD |
903A | CFBCBS MD (01) | MD |
E28272 | (02) | |
J848 | CFBCBS DC (01) | DC |