Individual
DANA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3372 LAURENS RD, GREENVILLE, SC 29607-5236
(864) 537-4600
(855) 858-0464
Mailing address
PO BOX 604308, CHARLOTTE, NC 28260-4308
(804) 273-8014
(855) 858-0464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
100716
WI
207Q00000X
Family Medicine Physician
20A7088
CA
207Q00000X
Family Medicine Physician
53354
CO
207Q00000X
Family Medicine Physician
Primary
93933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX70880
—
CA
05
—
46401873
—
CO
Enumeration date
02/06/2006
Last updated
05/06/2025
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