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Individual
JOHN TIMOTHY LEWIS
Active
Individual
JOHN TIMOTHY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53955
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP53955
STATE
WV
Enumeration date
11/18/2005
Last updated
01/13/2010
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