Individual
DR. JACQUELINE CHRISTINA SHEPARD-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7070 SAMUEL MORSE DR, COLUMBIA, MD 21046-3405
(410) 309-4600
Mailing address
1906 HAMPSHIRE DR, ADELPHI, MD 20783-2030
(301) 431-2721
(301) 431-4687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0064035
MD
207Q00000X
Family Medicine Physician
MD33802
DC
Other
Enumeration date
12/04/2006
Last updated
07/14/2021
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