Individual
DR. JED STEVEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON VA MEDICAL CENTER, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
4936 BURNLEY DR, WILLIAMSBURG, VA 23188-8802
(757) 259-0685
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202006397
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202006397
PHARMACIST LICENSE
VA
Enumeration date
07/28/2005
Last updated
07/08/2007
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