Individual
AUGUSTINE WARNER LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 746-1677
(804) 769-3170
Mailing address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 746-1677
(804) 769-3170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101019901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005811694
—
VA
01
—
080123285
RAILROAD MEDICARE
—
01
—
1471267
CIGNA
—
01
—
204502
ANTHEM (BC/BS OF VA)
—
01
—
254728
MAMSI
—
01
—
5606468
AETNA - LIFE
—
01
—
79134
SOUTHERN HEALTH SERVICES
—
01
—
C05698
GROUP PTAN
VA
Enumeration date
06/28/2006
Last updated
12/29/2009
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