Individual
STACY B LEWIS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 PROFESSIONAL PARK, OXFORD, NC 27565-2580
(919) 693-1082
(919) 693-2726
Mailing address
101 PROFESSIONAL PARK, OXFORD, NC 27565-2580
(919) 693-1082
(919) 693-2726
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31859
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171K
BCBS NC
NC
05
—
890171K
—
NC
Enumeration date
12/15/2005
Last updated
07/09/2007
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