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NPI Code Detail

MEDICARE: DALEEN L LEWIS FNP

MEDICARE: DALEEN L LEWIS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024166073VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427004324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALEEN L LEWIS FNP
Provider Business Mailing Address
First Line : 949 PINEY FOREST RD
Second Line :
City : DANVILLE
State : VA
Zip : 24540-1591
Country : US
Telephone Number : 434-835-4876
Fax Number : 434-835-4875
Provider Business Practice Location Address
First Line : 2645 MERIDIAN PKWY STE 323
Second Line :
City : DURHAM
State : NC
Zip : 27713-4232
Country : US
Telephone Number : 984-227-8902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 04/28/2020

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