Organization
MEMORIAL ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REN J LEWIS (PRACTICE ADMINISTRATOR)
(301) 829-7683
Entity
Organization
Contact information
Practice address
8262 ATLEE RD., MOB 3 #100, MECHANICSVILLE, VA 23116
(804) 746-6969
(804) 746-6950
Mailing address
PO BOX 778, MT. AIRY, MD 21771
(301) 829-7683
(301) 829-7694
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
VA
Other
Enumeration date
11/16/2007
Last updated
09/17/2008
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