Individual
DR. SHANNIN DION LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
204 GROVE AVE STE C, WEST DEPTFORD, NJ 08086-2557
(856) 537-6427
Mailing address
204 GROVE AVE STE C, WEST DEPTFORD, NJ 08086-2557
(856) 537-6427
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB09229100
NJ
208VP0014X
Interventional Pain Medicine Physician
25MB09229100
NJ
208VP0014X
Interventional Pain Medicine Physician
OS016366
PA
Other
Enumeration date
12/09/2008
Last updated
07/21/2020
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