Individual
ERIN E LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
138 E MAIN ST, WESTFIELD, NY 14787-1121
(716) 326-4678
(716) 326-4641
Mailing address
PO BOX 10, WESTFIELD, NY 14787-0010
(716) 326-4678
(716) 326-4641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0110005208
VA
363A00000X
Physician Assistant
Primary
020074
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04610546
—
NY
Enumeration date
02/01/2016
Last updated
07/21/2022
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