Individual
SHAWN W. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
1250 E MARSHALL SREET, DEPT. OF INTERNAL MEDICINE/GASTROENTEROLOGY, RICHMOND, VA 23298-5051
(804) 828-4060
(804) 828-5348
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024172078
VA
Other
Enumeration date
02/10/2015
Last updated
05/05/2015
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