| Lewis-gale Family Care - Clearbrook | |
|
5303b Indian Grave Rd Sw Roanoke VA 24014-6607 | |
| (540) 725-3060 | |
| (540) 772-4948 |
| Full Name | Lewis-gale Family Care - Clearbrook |
|---|---|
| Speciality | Internal Medicine |
| Location | 5303b Indian Grave Rd Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Otis 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 Family Care - Clearbrook 5303b Indian Grave Rd Sw Roanoke VA 24014-6607 Ph: (540) 725-3060 | Lewis-gale Family Care - Clearbrook 5303b Indian Grave Rd Sw Roanoke VA 24014-6607 Ph: (540) 725-3060 |
| NPI Number | 1316919210 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316919210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101033197 (Virginia) | Primary |
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