Individual
RICHARD GORDON LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101230471
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952516734
—
VA
01
—
C05349
MC GROUP NUMBER
VA
Enumeration date
05/14/2007
Last updated
11/15/2024
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