| Lewis-gale Physicians, Llc | |
|
2727 Electric Rd Suite 100 Roanoke VA 24018-3547 | |
| (540) 772-5140 | |
| (540) 772-5130 |
| Full Name | Lewis-gale Physicians, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2727 Electric Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Otis W Blackwood (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5407723672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis-gale Physicians, Llc 2727 Electric Rd Suite 100 Roanoke VA 24018-3547 Ph: (540) 772-5140 | Lewis-gale Physicians, Llc 2727 Electric Rd Suite 100 Roanoke VA 24018-3547 Ph: (540) 772-5140 |
| NPI Number | 1275644908 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275644908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101236052 (Virginia) | Primary |
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