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Individual

LUANNE KEM LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7525 TIDEWATER DR STE 19, NORFOLK, VA 23505-3700
(757) 330-0150
(877) 487-3044
Mailing address
7525 TIDEWATER DR STE 19, NORFOLK, VA 23505-3700
(757) 330-0150
(877) 487-3044

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101037230
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000231195BD
HUMANA HEALTH PLAN
VA
01
119521
ANTHEM PROVIDER NUMBER
VA
05
5878217
VA
01
74903
OPTIMA HEALTH PROVIDER NO
VA
Enumeration date
12/02/2005
Last updated
03/19/2026
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