Individual
JESSICA DEGRANDIS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
70 MEDICAL CENTER CIR STE 107, FISHERSVILLE, VA 22939-2273
(540) 245-7030
(540) 245-7031
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 245-7030
(540) 245-7031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101250290
VA
207RI0200X
Infectious Disease Physician
Primary
0101250290
VA
207RI0200X
Infectious Disease Physician
51648
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205095726
—
VA
Enumeration date
06/09/2008
Last updated
08/17/2023
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