Individual
DR. LORI L. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
426 MANTUA AVE, WOODBURY, NJ 08096-2617
(856) 848-7700
(856) 848-7531
Mailing address
426 MANTUA AVE, WOODBURY, NJ 08096-2617
(856) 848-7700
(856) 848-7531
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00189700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8330701
—
NJ
Enumeration date
01/13/2006
Last updated
10/16/2018
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