Individual
DR. RACHEL ELLEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
191378-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01445234
—
NY
Enumeration date
07/19/2006
Last updated
04/12/2012
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