| Gerald Lewis Inc. | |
|
3000 Murvihill Rd Valparaiso IN 46383-5960 | |
| (219) 286-3907 | |
| (219) 286-3911 |
| Full Name | Gerald Lewis Inc. |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 3000 Murvihill Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Gerald C. Lewis (OWNER) |
| Authorized Official Contact | 2197433907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Lewis Inc. 9120 Connecticut St Ste A Merrillville IN 46410-7015 Ph: (219) 793-1233 | Gerald Lewis Inc. 3000 Murvihill Rd Valparaiso IN 46383-5960 Ph: (219) 286-3907 |
| NPI Number | 1053650887 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 05/19/2024 |
| Certification Date | 05/19/2024 |
| Medicare PECOS PAC ID | 2668913294 |
|---|---|
| Medicare Enrollment ID | O20240923001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053650887 | NPI | - | NPPES |
| Provider Name | Gerald Clinton Lewis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639279177 PECOS PAC ID: 4082630322 Enrollment ID: I20150415001659 |
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