NPI 1558362046

Donald R Lewellen, MD

Practitioner Ophthalmology Physician Manitowoc, WI

Practice location

Address: 4801 Expo Dr, Manitowoc, WI 54220-9341
Phone: (920) 684-4429
Fax: (920) 684-6892
Mailing address: PO Box 1900, Manitowoc, WI 54221-1900

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 27021 (WI)

Other Ophthalmology providers in Wisconsin →

Registry record

NPI: 1558362046
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2005
Record last updated: 25 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.