Provider Demographics
NPI:1568255719
Name:BALDWIN, LEWIS STEELE
Entity type:Individual
Prefix:
First Name:LEWIS
Middle Name:STEELE
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 KEENERS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STRANGE CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:25063-7353
Mailing Address - Country:US
Mailing Address - Phone:304-640-5903
Mailing Address - Fax:
Practice Address - Street 1:629 KEENERS RIDGE RD
Practice Address - Street 2:
Practice Address - City:STRANGE CREEK
Practice Address - State:WV
Practice Address - Zip Code:25063-7353
Practice Address - Country:US
Practice Address - Phone:304-640-5903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant