Provider Demographics
NPI:1740236595
Name:WALKER, LEWIS PATTERSON III (MD)
Entity type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:PATTERSON
Last Name:WALKER
Suffix:III
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 1:1102 GOODYEAR AVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-2008
Mailing Address - Country:US
Mailing Address - Phone:256-492-9924
Mailing Address - Fax:256-492-9965
Practice Address - Street 1:1102 GOODYEAR AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-2008
Practice Address - Country:US
Practice Address - Phone:256-492-9924
Practice Address - Fax:256-492-9965
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00013005207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000029905Medicaid
AL000029905Medicare PIN
ALC71812Medicare UPIN