Healthcare Provider Details

I. General information

NPI: 1629176029
Provider Name (Legal Business Name): DRS LEWIS, UNGER & BARTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K STREET, N.W. SUITE 400
WASHINGTON DC
20006-0123
US

IV. Provider business mailing address

2021 K STREET, N.W. SUITE 400
WASHINGTON DC
20006-0123
US

V. Phone/Fax

Practice location:
  • Phone: 202-466-5151
  • Fax: 202-466-4072
Mailing address:
  • Phone: 202-466-5151
  • Fax: 202-466-4072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number9098
License Number StateDC

VIII. Authorized Official

Name: DR. RANDALL JEFFREY LEWIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 202-466-5151