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Individual

JONATHAN DANIEL LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER, NEWPORT NEWS, VA 23601-1929
(757) 612-6999
(757) 867-7547
Mailing address
PO BOX 12087, PENINSULA RADIOLOGICAL ASSOCIATES, NEWPORT NEWS, VA 23612-2087
(757) 867-6101
(757) 867-7547

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101268621
VA
2085R0202X
Diagnostic Radiology Physician
MD484234
PA

Other

Enumeration date
05/06/2014
Last updated
05/14/2026
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