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Leon Wrensford Lewis

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

420 Lowell Dr SE, 401, Huntsville, AL 35801-3754

PECOS Enrollment

This provider is enrolled in PECOS as LEON LEWIS.

Based on the most recent information from CMS, provider Leon Wrensford Lewis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1740260744
Provider Type
Individual
Full Name
Lewis, Leon Wrensford
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
1/18/2006
Last Updated
3/15/2012

Contact Information

Practice Location

420 Lowell Dr SE, 401, Huntsville, AL 35801-3754

(256) 489-8845

(256) 489-8849

Mailing Location

420 Lowell Dr SE, 401, Huntsville, AL 35801-3754

(256) 489-8845

(256) 489-8849

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 21281 Alabama

Provider Identifiers

ID	Description	Issuer
ID 009979225	Description Medicaid	Issuer Unlisted Alabama

Leon Wrensford Lewis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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