| Lewis Family Medicine, Plc | |
|
4307 Kenwyn Ct Annandale VA 22003-3658 | |
| (703) 598-0262 | |
| Not Available |
| Full Name | Lewis Family Medicine, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 4307 Kenwyn Ct, Annandale, Virginia |
| Authorized Official Name and Position | Edward Lewis (PRESIDENT) |
| Authorized Official Contact | 7035980262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Family Medicine, Plc 4307 Kenwyn Ct Annandale VA 22003-3658 Ph: (703) 598-0262 | Lewis Family Medicine, Plc 4307 Kenwyn Ct Annandale VA 22003-3658 Ph: (703) 598-0262 |
| NPI Number | 1063730026 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063730026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101238901 (Virginia) | Primary |
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