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Individual

MARK ERWIN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA

Contact information

Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
11923 HUNTERS RUN DR, COCKEYSVILLE, MD 21030-1959
(410) 371-8688

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R208090
MD

Other

Enumeration date
09/22/2021
Last updated
01/29/2025
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