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Individual

DR. DAVID OWEN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18688 JEB STUART HWY, STUART, VA 24171-1559
(276) 694-8655
Mailing address
828 TURNER ASHBY RD, MARTINSVILLE, VA 24112-0647
(276) 632-8549

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101023990
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13725C
BLUE CROSS BLUE SHIELD
NC
01
39-17467
UNITED HEALTH CARE
NC
05
5900678
NC
01
6101
PARTNERS
NC
Enumeration date
01/04/2007
Last updated
05/20/2008
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