Individual
ALEXANDRA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7750 TEN TEN RD, RALEIGH, NC 27603-8852
(919) 235-1500
(919) 235-6595
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-15782
NC
363AM0700X
Medical Physician Assistant
Primary
0010-15782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184418766
—
NC
Enumeration date
04/08/2025
Last updated
09/25/2025
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