Individual
RICHARD GORDON LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2331A ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 267-6009
(804) 267-6017
Mailing address
2331A ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 267-6009
(804) 267-6017
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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