Individual
DANTE NEISONE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019-00846
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18500
EVOLUTIONS
SC
01
—
20069023
SELECT HEALTH
SC
01
—
2019-00846
NC MEDICAL LICENSE
NC
01
—
30392
SC MEDICAL LICENSE
SC
05
—
303923
—
SC
01
—
4001444
CIGNA
SC
05
—
5908146
—
NC
01
—
9630227
AETNA
SC
01
—
AA23878552
MEDICARE PTAN
SC
Enumeration date
12/30/2005
Last updated
10/22/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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