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Individual
DR. PAULETTE LEWIS
Active
Individual
DR. PAULETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207068-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019371020001
—
PA
05
—
01761302
—
NY
01
—
110247537
RR MEDICARE - PIN
NY
01
—
CC8362
RR MEDICARE
NY
Enumeration date
01/31/2006
Last updated
03/18/2021
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