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NPI Code Detail

MEDICARE: DR. MICHAEL LEWIS MD

MEDICARE: DR. MICHAEL 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
1207V00000XObstetrics & Gynecology Physician0101242685VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10101242685OTHERVAVA LICENSE

General Provider Information

NPI Number : 1710140991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL LEWIS MD
Provider Business Mailing Address
First Line : 4714 MARSHALL AVE
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23607-2247
Country : US
Telephone Number : 757-591-0643
Fax Number :
Provider Business Practice Location Address
First Line : 4714 MARSHALL AVE
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23607-2247
Country : US
Telephone Number : 757-591-0643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 07/08/2008

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Directions to “ DR. MICHAEL LEWIS MD” Practice Location

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