Individual
MRS. SUSAN LEWIS GIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PAC
Contact information
Practice address
1 MED CENTER DR, LOUIS A. JOHNSON VA MEDICAL CENTER, CLARKSBURG, WV 26301-4155
(304) 623-3461
(304) 626-7724
Mailing address
1 MED CENTER DR, LOUIS A. JOHNSON VA MEDICAL CENTER, CLARKSBURG, WV 26301-4155
(304) 623-3461
(304) 626-7724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
740
WV
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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