Individual
BENJAMIN A. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1204 W MAIN ST FL 6, CHARLOTTESVILLE, VA 22903-2824
(434) 924-5321
(434) 982-3816
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101260670
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
07/05/2016
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