Individual
DR. WILLIS EDWARD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8156
Mailing address
PO BOX 3391, MARTINSVILLE, VA 24115-3391
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
34070
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220010308
RAILROAD MEDICARE
—
01
—
51817
BCBS OF NC
NC
01
—
62907
MEDCOST
—
05
—
8951817
—
NC
Enumeration date
10/10/2005
Last updated
04/12/2026
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