# AUGUSTINE WARNER LEWIS III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265469738
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101019901 | VA | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 12/29/2009

## 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 |