Individual
CORALEE INETA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SION FARM, SUITE 5 ISLAND MEDICAL CENTER, CHRISTIANSTED, VI 00820
(340) 692-6717
Mailing address
PO BOX 5135, CHRISTIANSTED, VI 00823
(340) 692-6717
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1083
VI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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