Organization · Type 2 NPI
Sandra J Lewis M.d. P.l.l.c.
Primary Care Clinic/Center · Charleston, WV
NPI number
1487849485
Active
Practice location
4004 Maccorkle Ave SE
Charleston, WV 25304-1672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 18980 (WV) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1487849485
Sandra J Lewis M.d. P.l.l.c.'s National Provider Identifier is 1487849485, issued on Sep 12, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Charleston, WV. The record was last updated on Sep 12, 2007.