Mann, Lewis T

Mann, Lewis T is an individual health care provider with primary practice located at 400 John Deere Rd Bldg 2 , Moline IL 61265-6898. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mann, Lewis T can be contacted via phone (309) 517-3036.

Contact Information

Primary practice address
400 John Deere Rd Bldg 2 Moline IL 61265-6898
Fax: (309) 797-1088
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R-10643 Iowa
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD-47669 Iowa

Profile Details

NPI number 1730530148
LBN Legal business name Mann, Lewis T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Jun 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730530148 NPPES
Iowa MEDICAID 2504957
Iowa MEDICAID 036155111

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