Individual
LEWIS JOHN TONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 N MAIN ST, TROUTMAN, NC 28166-9529
(704) 528-3721
(704) 528-5273
Mailing address
510 N MAIN ST, TROUTMAN, NC 28166-9529
(704) 528-3721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009-01075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983635
—
NC
Enumeration date
06/21/2005
Last updated
03/29/2021
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