Provider Demographics
NPI:1851646889
Name:PRESSGROVE, LEWIS WAYNE SR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:WAYNE
Last Name:PRESSGROVE
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2547 ASHFORD PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2244
Mailing Address - Country:US
Mailing Address - Phone:205-968-6548
Mailing Address - Fax:
Practice Address - Street 1:2547 ASHFORD PL
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2244
Practice Address - Country:US
Practice Address - Phone:205-968-6548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL06952207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology