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Individual

LISA M LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 FOREST GLEN RD, SUITE 525, SILVER SPRING, MD 20910-1459
(301) 593-8101
(301) 593-1537
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004347
MD
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
C0004347
MD

Other

Enumeration date
07/28/2006
Last updated
11/02/2023
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