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Individual

DR. MICHAEL LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4714 MARSHALL AVE, NEWPORT NEWS, VA 23607-2247
(757) 591-0643
Mailing address
4714 MARSHALL AVE, NEWPORT NEWS, VA 23607-2247
(757) 591-0643

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101242685
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101242685
VA LICENSE
VA
Enumeration date
07/08/2008
Last updated
07/08/2008
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