RICKY L LEWIS

THREE NOTCH MEDICAL CENTER, PC

Dr RICKY L LEWIS is a male medical professional, specializing in Nurse Practitioner. He graduated in 2000 from University Of South Alabama College Of Medicine.

Contact

THREE NOTCH MEDICAL CENTER, PC

835 S THREE NOTCH ST
ANDALUSIA
AL
364205321

Tel: 3342228421

RICKY L LEWIS Information

Npi 1194747584
Pac Id 0042372682
Professional Enrollment Id I20081216000518
Last Name LEWIS
First Name RICKY
Middle Name L
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year 2000
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THREE NOTCH MEDICAL CENTER, PC
Group Practice Pac Id 2961425251
Number Of Group Practice Members 3
Line 1 Street Address 835 S THREE NOTCH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ANDALUSIA
State AL
Zip Code 364205321
Phone Number 3342228421
Hospital Affiliation Ccn 1 010036
Hospital Affiliation Lbn 1 ANDALUSIA REGIONAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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