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Individual

KOURTNY DEANA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5710 SILVER HILL RD, DISTRICT HEIGHTS, MD 20747-1101
(301) 736-7000
Mailing address
7903 PRENTICE CT, FORT WASHINGTON, MD 20744-4449
(240) 605-3833

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010076
MD

Other

Enumeration date
07/08/2024
Last updated
10/14/2025
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