Individual
SHIRLEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 PARKSIDE AVE, PHILADELPHIA, PA 19131-4714
(267) 945-4997
Mailing address
2866 RUTH ST, PHILADELPHIA, PA 19134-3555
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
167122957
PA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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