Larry Glen Lewis is a Pediatric Gastroenterology Physician based in Atlanta, GA and is specialized in Pediatric Gastroenterology. Larry Glen Lewis practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Larry Glen Lewis is 1699744722 and holds a License No. 052357 (Georgia).
The current practice location address for Larry Glen Lewis is 993 D Johnson Ferry Rd, Atlanta, GA and can be reached out via phone at 404-257-0799 and via fax at 404-503-2280. You can also correspond with Larry Glen Lewis through the mailing address at 993 D JOHNSON FERRY RD, ATLANTA, GA - 30342 (mailing address contact number: 404-257-0799).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134940 | 01 | AETNA HMO POS | |
| 5433953006 | 01 | CIGNA | |
| REF000087396 | 01 | MEDICAID REFERENCE PROVID | |
| 000709497H | 01 | MEDICAID PROVIDER NUMBER | |
| 52508068010 | 01 | BLUE CHOICE PROVIDER ID | |
| 000981901A | 05 | GA | |
| 5757428 | 01 | AETNA MC PPO PIN NUMBER | |
| 1422312 | 01 | UNITED HEALTH CARE | |
| 080685 | 01 | BLUE CHOICE FAC INSURANCE | |
| 1789 | 01 | KAISER |
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