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Individual
RHIANNON L LEWIS
Active
Individual
RHIANNON L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060230
PA
363A00000X
Physician Assistant
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103667448
—
PA
01
—
14451836
CAQH
—
Enumeration date
10/04/2018
Last updated
10/01/2020
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