Organization
KERRY R. LEWIS M.D. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY RANDALL LEWIS M.D. (PHYSICIAN)
(703) 273-3613
Entity
Organization
Contact information
Practice address
10560 MAIN ST, SUITE 210, FAIRFAX, VA 22030-7182
(703) 273-3613
Mailing address
10560 MAIN ST, SUITE 210, FAIRFAX, VA 22030-7182
(703) 273-3613
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101028949
VA
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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