Lewis Shilane D.O.

NPI 1013940469 - Family Medicine - 207Q00000X

NPI Details
NPI 1013940469
Gender Male
Enumeration Date 07/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2323 N ASH ST
NEVADA HABILITATION CENTER
NEVADA MO, 64772-1054, US
Phone (417) 667-7833
Fax
Business Location
25514 LEFFEN LN
JOPLIN MO, 64801-6367, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number R5F58
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According to our database, Lewis Shilane D.O. NPI is 1013940469, taxonomy code is 207Q00000X and license number is R5F58, license state is located at Missouri. Lewis Shilane D.O. physically located at 2323 N Ash St, Nevada MO, 64772-1054. NPI Number Lewis Shilane D.O. has the Individual type.

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1013940469 NPI number is provided on an as is basis without warranty of any kind. 1013940469 is maintained by the National Plan & Provider Enumeration System. The contents of Lewis Shilane D.O. are for informational purposes only.