Provider Demographics
NPI:1255397618
Name:LEWIS, BARTON LEE (MD)
Entity type:Individual
Prefix:DR
First Name:BARTON
Middle Name:LEE
Last Name:LEWIS
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:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-0068
Mailing Address - Country:US
Mailing Address - Phone:252-726-3331
Mailing Address - Fax:252-726-5693
Practice Address - Street 1:400 COMMERCE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3421
Practice Address - Country:US
Practice Address - Phone:252-726-3331
Practice Address - Fax:252-726-5693
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC378852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
357476100OtherUS DEPT OF LABOR
E14819Medicare UPIN
2013707AMedicare ID - Type Unspecified