Individual
MS. BERNADINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
208 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1320
(267) 975-9313
(610) 259-1873
Mailing address
208 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1320
(267) 975-9313
(610) 259-1873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MA050628-L
PA
363A00000X
Physician Assistant
25MP00365500
NJ
363AM0700X
Medical Physician Assistant
Primary
MA050682
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881654614
NPI
—
Enumeration date
03/24/2006
Last updated
01/28/2022
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