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Ronald Lewis

Specialist, Prosthetics Case Management in Saint Louis, MO. Individual provider (NPI-1).

NPI number1619855152
StatusActive
Last updated in NPPESAug 22, 2025

Details

NPI
1619855152
Entity type
Individual (NPI-1)
Name
Ronald Lewis
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 22, 2025
Certification date
Aug 22, 2025
Last updated
Aug 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1744P3200X Specialist, Prosthetics Case Management009389MOYes

Practice location

7299 Olive Blvd
Saint Louis, MO 63130-2350

Phone 314-532-8596

Mailing address

7299 Olive Blvd
Saint Louis, MO 63130-2350

Phone 314-532-8596

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