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Individual

DAVID LEWIS REGISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
105 NANTUCKET PL, NEWPORT NEWS, VA 23606-3538
(804) 854-3448
Mailing address
105 NANTUCKET PL, NEWPORT NEWS, VA 23606-3538
(804) 854-3448

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024184419
VA

Other

Enumeration date
06/30/2022
Last updated
06/30/2022
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