Individual
ELIZABETH A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1200 J D ANDERSON DR, MID ATLANTIC ANESTHESIA CONSULTANTS, PLLC, MORGANTOWN, WV 26505-3494
(304) 346-9400
(304) 345-7320
Mailing address
MID ATLANTIC ANESTHESIA CONSULTANTS PLLC, P. O. BOX 711841, COLUMBUS, OH 43271-0001
(304) 346-9400
(304) 345-7320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1972
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014706469
MSBCBS GROUP
WV
01
—
001757382
MSBCBS
WV
05
—
0207026000
—
WV
01
—
1070944
BRICKSTREET
WV
01
—
2022544
ALLIANCE
WV
01
—
20554238700
BRICKSTREET GROUP
WV
01
—
27005299700
WORKERS COMP
WV
01
—
270052997004
TRICARE
WV
01
—
27005299701
WORKERS COMP
WV
05
—
3003594000
—
WV
01
—
9364011
MEDICARE GROUP AAP
WV
01
—
DA0096
RR MEDICARE
WV
01
—
P00142950
RR MEDICARE
WV
Enumeration date
08/22/2006
Last updated
05/09/2008
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