Individual
LATASHA M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9700462
NC
2080P0203X
Pediatric Critical Care Medicine Physician
01061173A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
2010-00434
NC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
320750
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04205361
—
MS
05
—
5916120
—
NC
Enumeration date
02/28/2007
Last updated
07/31/2020
Update your record
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