Individual
DR. EMILEE COLELLA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-1600
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-1600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019-02869
NC
208000000X
Pediatrics Physician
54076
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2012
Last updated
04/16/2021
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