Individual
ZACHARY THOMPSON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
2003-00374
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2003-00374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023216975
—
VA
01
—
145RW
BCBS
NC
01
—
199229
MEDCOST
NC
05
—
3810009397
—
WV
05
—
5907360
—
NC
01
—
810601
PARTNERS
NC
01
—
9533081
AETNA
—
05
—
Q74004
—
SC
Enumeration date
07/03/2007
Last updated
05/13/2008
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