Individual
CORI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609-2508
(919) 250-3478
Mailing address
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609-2508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020-02622
NC
Other
Enumeration date
04/10/2017
Last updated
12/23/2024
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