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Individual
AUGUSTINE WARNER LEWIS III
Active
Individual
AUGUSTINE WARNER LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101019901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005811694
—
VA
01
—
080123285
RAILROAD MEDICARE
—
01
—
1471267
CIGNA
—
01
—
204502
ANTHEM (BC/BS OF VA)
—
01
—
254728
MAMSI
—
01
—
5606468
AETNA - HMO
—
01
—
79134
SOUTHERN HEALTH SERVICES
—
01
—
C05698
GROUP PTAN
VA
Enumeration date
06/28/2006
Last updated
12/29/2009
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