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Individual

DR. ANTOINETTE MARIA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1712 EYE STREET NW, SUITE 310, WASHINGTON, DC 20006
(202) 887-8144
(202) 887-8166
Mailing address
1712 EYE STREET NW, SUITE 310, WASHINGTON, DC 20006
(202) 887-8144
(202) 887-8166

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17837
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
513210
NCPPO
01
G5140001
BLUE CROSS BLUE SHIELD
Enumeration date
02/13/2007
Last updated
07/08/2007
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