Doctor Name: | JAMES LEWIS |
NPI Number: | 1851520472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS005194L |
Business Practice Address: | 102 Pickering Way Suite 200 Exton, PA - 193411330 |
Business Phone Number: | 2157382954 |
Business Fax Number: | 4843418184 |
Mailing Address: | Po Box 275, UWCHLAND |
State: | PA |
Postal Code: | 194800275 |
Phone Number: | 2157382954 |
Fax Number: | 4843418184 |
NPI Enumeration Date: | 07/02/2009 |
NPI Last Update Date: | 07/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS005194L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |