Organization
LEWIS-GALE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS BLACKWOOD (PRACTICE ADMINISTRATOR)
(540) 772-3672
Entity
Organization
Contact information
Practice address
2155 APPERSON DR, SALEM, VA 24153-7235
(540) 776-5656
(540) 776-5640
Mailing address
2155 APPERSON DR, SALEM, VA 24153-7235
(540) 776-5656
(540) 776-5640
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
0101048225
VA
207Q00000X
Family Medicine Physician
01022201115
VA
2083X0100X
Occupational Medicine Physician
Primary
0101034748
VA
Other
Enumeration date
02/08/2006
Last updated
09/11/2025
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