Individual
MARNA T. LEWIS-PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 327-4047
Mailing address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 327-4047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101237459
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010164664
—
VA
05
—
5900879
—
NC
Enumeration date
06/16/2006
Last updated
04/23/2008
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