MEDICARE: KATHERINE ALTER LEWIS MD

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
1	207P00000X	Emergency Medicine Physician	135646	NC

General Provider Information

NPI Number	:	1487821534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ALTER LEWIS MD

Provider Business Mailing Address
First Line	:	ERWIN RD
Second Line	:	DUMC 3935 DUKE NORTH ROOM 0681
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-681-2247
Fax Number	:

Provider Business Practice Location Address
First Line	:	ERWIN RD
Second Line	:	DUMC 3935 DUKE NORTH ROOM 0681
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-681-2247
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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