Individual
DR. HOLLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411085
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1777225
UNITED CONCORDIA INS.
VA
01
—
184570
ANTHEM BC/BS
VA
05
—
9179294
—
VA
Enumeration date
07/11/2006
Last updated
09/23/2021
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