Individual
DR. PETRA J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DEPARTMENT OF RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-4477
(603) 650-5455
Mailing address
1 MEDICAL CENTER DR, DEPARTMENT OF RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-6125
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
9004
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE3828
—
VT
05
—
80003828
—
NH
Enumeration date
07/12/2006
Last updated
07/16/2007
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