Individual
DR. MARY LOU LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 MORRIS STREET, CAMC, CHARLESTON, WV 25301
(304) 388-7191
Mailing address
7026 VALLEY BROOK DRIVE, CHARLESTON, WV 25312-9460
(304) 984-3013
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
9415
WV
207RN0300X
Nephrology Physician
Primary
9415
WV
Other
Enumeration date
09/20/2005
Last updated
09/11/2025
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