Individual
MELANIE A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
137 MEDICAL LANE, POLLOCKSVILLE, NC 28573-8200
(252) 633-1010
(252) 224-3071
Mailing address
PO BOX 602522, CHARLOTTE, NC 28260-2522
(252) 638-4023
(252) 633-2833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60062
BLUE CROSS
NC
05
—
8960062
—
NC
Enumeration date
08/24/2005
Last updated
07/19/2011
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