Individual provider · Type 1 NPI

Philip Alden Lewis Jr., D.P.M.

Foot Surgery Podiatrist · Fayetteville, NC

NPI number 1942206255 Active

Practice location

2300 Ramsey St, Va Medical Center (112)
Fayetteville, NC 28301-3856

Fax (910) 822-7035

Mailing address

315 Twin Ponds Ln
Vass, NC 28394-9266

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131XPOD 209 (ME)

Foot Surgery Podiatrist: Definition to come...

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About NPI 1942206255

Philip Alden Lewis Jr., D.P.M.'s National Provider Identifier is 1942206255, issued on Jun 22, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 18, 2010.