Individual
LEWIS H SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 BATTLEFIELD BLVD N, EMERGENCY DEPARTMENT, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
109 G GAINSBOROUGH SQUARE, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101045991
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0628R
BLUE CROSS BLUE SHIELD NC
NC
01
—
082480
BLUE CROSS BLUE SHIELD VA
VA
01
—
15888
OPTIMA
—
01
—
251490
MAMSI/MDIPA
—
01
—
3900570
OPTIMUM CHOICE
—
05
—
6079130
—
VA
05
—
890628R
—
NC
01
—
930041254
MEDICARE RAILROAD
—
Enumeration date
08/29/2006
Last updated
07/26/2024
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