Organization
RACHEL E. LEWIS M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL E LEWIS M.D. (DR.)
(315) 782-2783
Entity
Organization
Contact information
Practice address
26495 STATE ROUTE 3, WATERTOWN, NY 13601-1749
(315) 783-4977
Mailing address
17871 COUNTY ROUTE 156, WATERTOWN, NY 13601-5739
(315) 782-2783
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
191378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01445234
—
NY
01
—
191378
NY LISCENSE
NY
Enumeration date
06/27/2007
Last updated
08/22/2020
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