Individual
VAN L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1933
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101033791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007267657
—
VA
Enumeration date
07/19/2006
Last updated
01/15/2015
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