Individual
DANTE NEISONE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3940 ARROWHEAD BLVD STE 270, MEBANE, NC 27302-7637
(919) 563-0202
(919) 563-0242
Mailing address
530 W WEBB AVE, BURLINGTON, NC 27217-3706
(336) 228-8316
(336) 227-9750
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
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