Individual
MS. SUSAN ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4893
(617) 963-4460
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4893
(617) 963-4460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004778-01
NY
363AM0700X
Medical Physician Assistant
Primary
11040
GA
363AM0700X
Medical Physician Assistant
PA9111216
FL
Other
Enumeration date
07/28/2006
Last updated
01/21/2026
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