Organization
LEWIS-GALE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS W BLACKWOOD (PRACTICE ADMINISTRATOR)
(540) 772-3672
Entity
Organization
Contact information
Practice address
2727 ELECTRIC RD, SUITE 100, ROANOKE, VA 24018-3547
(540) 772-5140
(540) 772-5130
Mailing address
2727 ELECTRIC RD, SUITE 100, ROANOKE, VA 24018-3547
(540) 772-5140
(540) 772-5130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101236052
VA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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