Individual
DANIELLE SIMON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-3908
(866) 617-8273
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101232614
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460051
BCBS
—
Enumeration date
04/08/2006
Last updated
09/30/2015
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