Provider Demographics
NPI:1669450060
Name:CONE, LEWIS (DC)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:
Last Name:CONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 FOREST LN STE 605
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6179
Mailing Address - Country:US
Mailing Address - Phone:972-880-8541
Mailing Address - Fax:214-221-1440
Practice Address - Street 1:9550 FOREST LN STE 605
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6179
Practice Address - Country:US
Practice Address - Phone:972-880-8541
Practice Address - Fax:214-221-1440
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8341111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608082OtherBLUE CROSS/BS ID #
TXV03863Medicare UPIN
TX611523Medicare ID - Type UnspecifiedMEDICARE PROVIDER #