Individual
DR. LEWIS JAMES EDGEMON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
103 LOCH ARBOR CT, SANFORD, FL 32771-3646
(407) 323-6888
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME11646
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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