# LEWIS-GALE PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lewis-Gale Family Care - Valley View
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063484921
- **Authorized official:** OTIS BLACKWOOD (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (540) 772-3671

## Contact information

- **Practice address:** 4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
- **Practice address phone:** (540) 265-1607
- **Practice address fax:** (540) 366-7353
- **Mailing address:** 4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
- **Mailing address phone:** (540) 265-1607
- **Mailing address fax:** (540) 366-7353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | 0101040969 | VA | — |
| 207Q00000X | Family Medicine Physician | 0101235727 | VA | Yes |
| 207W00000X | Ophthalmology Physician | 0101042126 | VA | — |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 09/11/2025