Individual
DR. JENNIFER ANTHONY LEWIS
Active
Individual
DR. JENNIFER ANTHONY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014-01311
NC
207RX0202X
Medical Oncology Physician
Primary
55653
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750677332
TRICARE
NC
05
—
1750677332
—
NC
01
—
1869W
BCBS
NC
01
—
282011
MEDCOST
NC
01
—
5115648
UNITED HEALTHCARE
ND
01
—
5714799
AETNA
NC
01
—
P01364607
RR MEDICARE
NC
01
—
Q01311
SC MEDICAID
SC
Enumeration date
06/22/2011
Last updated
03/16/2022
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