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Albert Lewis
NPI 1871677005 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1305 Ash St
Bridgeport, IL 62417 - Phone
- (618) 945-5858
- Fax
- (618) 945-5313
Registry record
- Primary taxonomy
- 341600000X
341600000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois