Individual
LAUREN ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
790 1ST ST, MACON, GA 31201-6874
(478) 301-5824
Mailing address
2490 RIVERSIDE DR, MACON, GA 31204-1787
(478) 301-5824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12148
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
05/11/2020
Last updated
08/20/2021
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