Individual
DR. JOHN WARREN LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
436 CLAIRMONT CT, SUITE 100, COLONIAL HEIGHTS, VA 23834-1765
(804) 526-2121
(804) 520-2617
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 526-2121
(804) 520-2617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201012
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005645344
—
VA
Enumeration date
07/13/2005
Last updated
02/05/2020
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