Organization
JOHN W LEWIS D.O. FAMILY PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WARREN LEWIS JR. D.O. (OWNER/PHYSICIAN)
(540) 962-1278
Entity
Organization
Contact information
Practice address
411 W RIVERSIDE ST, COVINGTON, VA 24426-1273
(540) 962-1278
(540) 962-1282
Mailing address
411 W RIVERSIDE ST, COVINGTON, VA 24426-1273
(540) 962-1278
(540) 962-1282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201012
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005645344
—
VA
01
—
463197
ANTHEM
VA
01
—
7460270
AETNA
VA
01
—
CK5921
MEDICARE RAILROAD
VA
Enumeration date
10/12/2007
Last updated
10/18/2012
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