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Organization
KERRY R. LEWIS M.D. LTD.
Active
Organization
KERRY R. LEWIS M.D. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY RANDALL LEWIS M.D. (PHYSICIAN)
(703) 273-3613
Entity
Organization
Contact information
Practice address
10560 MAIN ST, SUITE 210, FAIRFAX, VA 22030-7182
(703) 273-3613
Mailing address
10560 MAIN ST, SUITE 210, FAIRFAX, VA 22030-7182
(703) 273-3613
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101028949
VA
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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