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Individual
ROD LEE LEWIS
Active
Individual
ROD LEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP068366
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104975C
—
GA
01
—
01644346
AMERIGROUP
GA
01
—
801530
WELLCARE
GA
01
—
P01156357
RR MEDICARE
GA
Enumeration date
07/22/2010
Last updated
11/04/2025
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