Provider Demographics
NPI:1881857779
Name:PURINTON, LEW W (MD)
Entity Type:Individual
Prefix:MR
First Name:LEW
Middle Name:W
Last Name:PURINTON
Suffix:
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 1:665 N BROADMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1651
Mailing Address - Country:US
Mailing Address - Phone:316-682-6209
Mailing Address - Fax:
Practice Address - Street 1:665 N BROADMOOR AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1651
Practice Address - Country:US
Practice Address - Phone:316-682-6209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-09556207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine