Provider Demographics
NPI:1336175942
Name:SHULER, LEWIS DAVID (DO)
Entity Type:Individual
Prefix:
First Name:LEWIS
Middle Name:DAVID
Last Name:SHULER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 LUSK DR
Mailing Address - Street 2:
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-8855
Mailing Address - Country:US
Mailing Address - Phone:417-451-2227
Mailing Address - Fax:417-451-2169
Practice Address - Street 1:2550 LUSK DR
Practice Address - Street 2:
Practice Address - City:NEOSHO
Practice Address - State:MO
Practice Address - Zip Code:64850-8855
Practice Address - Country:US
Practice Address - Phone:417-451-2227
Practice Address - Fax:417-451-2169
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4E69207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO242091734Medicaid
OK100221020BMedicaid
KS100229930DMedicaid
MOMA2082233Medicare PIN
B18397Medicare UPIN