Individual
MRS. EMILY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
65 VILLAGE SQUARE DR STE 201, SOUTH KINGSTOWN, RI 02879-2569
(401) 444-7959
(401) 515-7910
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 443-5112
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01508
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184180663
—
RI
Enumeration date
02/20/2019
Last updated
12/17/2025
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