Healthcare Provider Details

I. General information

NPI: 1184180663
Provider Name (Legal Business Name): EMILY LEWIS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY FARRELL PA

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1672 S COUNTY TRL
EAST GREENWICH RI
02818-5098
US

IV. Provider business mailing address

526 MAIN ST STE 302
ACTON MA
01720-3301
US

V. Phone/Fax

Practice location:
  • Phone: 401-885-7546
  • Fax: 508-885-6639
Mailing address:
  • Phone: 978-371-7010
  • Fax: 978-371-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA01508
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA01508
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: