Individual
JANET LISA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 KIMBALL AVE, SUITE 1, PENN YAN, NY 14527
(315) 536-6050
(315) 536-6050
Mailing address
108 KIMBALL AVE, SUITE 1, PENN YAN, NY 14527
(315) 536-6050
(315) 536-6050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
199313
NY
2084P0800X
Psychiatry Physician
23661
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01592754
—
NY
01
—
3513
EXCELLUS
NY
Enumeration date
09/16/2006
Last updated
07/08/2007
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