Individual provider · Type 1 NPI

Bruce Donald Lewis Jr., PA-C

Medical Physician Assistant · Owings Mills, MD

NPI number 1205995578 Active

Practice location

10210 Reisterstown Rd
Owings Mills, MD 21117-3606

Call (410) 902-6776 Map

Mailing address

1005 Starboard Ct
Edgewood, MD 21040-1340

Other practice locations

  • 2719 Pulaski Hwy, Edgewood, MD 21040-1315 · (410) 612-0374

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0002016 (MD)

Medical Physician Assistant: Definition to come...

21 other providers at this address

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About NPI 1205995578

Bruce Donald Lewis Jr., PA-C's National Provider Identifier is 1205995578, issued on Dec 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Owings Mills, MD. The record was last updated on Aug 5, 2025.