Individual
MRS. CATHERINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UCONN MEDICAL GROUP, PSYCHIATRY ASSOCIATES, FARMINGTON, CT 06030-0001
(860) 679-6700
(860) 679-6736
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
035024
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001350248
—
CT
Enumeration date
06/22/2005
Last updated
07/02/2012
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