# JOHN W LEWIS D.O. FAMILY PRACTICE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316135502
- **Authorized official:** DR. JOHN WARREN LEWIS JR. D.O. (OWNER/PHYSICIAN)
- **Authorized official phone:** (540) 962-1278

## Contact information

- **Practice address:** 411 W RIVERSIDE ST, COVINGTON, VA 24426-1273
- **Practice address phone:** (540) 962-1278
- **Practice address fax:** (540) 962-1282
- **Mailing address:** 411 W RIVERSIDE ST, COVINGTON, VA 24426-1273
- **Mailing address phone:** (540) 962-1278
- **Mailing address fax:** (540) 962-1282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0102201012 | VA | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 10/18/2012