Provider Demographics
NPI:1063496859
Name:LEWIS, WILLIAM JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6565 S YALE AVE
Mailing Address - Street 2:SUITE 812
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8354
Mailing Address - Country:US
Mailing Address - Phone:918-494-9486
Mailing Address - Fax:918-494-9480
Practice Address - Street 1:6565 S YALE AVE
Practice Address - Street 2:SUITE 812
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8354
Practice Address - Country:US
Practice Address - Phone:918-494-9486
Practice Address - Fax:918-494-9480
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK19697207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G25984Medicare UPIN