Individual
LEWIS CHARLES EDER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(443) 287-2937
(410) 955-4858
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R143243
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R143243
LICENSE
MD
Enumeration date
01/12/2009
Last updated
08/25/2022
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