Individual
JUDITH L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVENUE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401
(804) 847-2791
(802) 847-2733
Mailing address
1430 PRINDLE ROAD, CHARLOTTE, VT 05445
(802) 425-2439
(802) 847-2733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420010613
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01417069
MCD
NY
05
—
1009845
—
VT
01
—
59635
BC BS
—
Enumeration date
07/24/2006
Last updated
07/08/2007
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