Provider Demographics
NPI:1922340801
Name:CULP, LEWIS WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:WAYNE
Last Name:CULP
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 1:8502 OXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1922
Mailing Address - Country:US
Mailing Address - Phone:806-794-9109
Mailing Address - Fax:806-794-8993
Practice Address - Street 1:8502 OXFORD AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1922
Practice Address - Country:US
Practice Address - Phone:806-794-9109
Practice Address - Fax:806-794-8993
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD0098207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine