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General NPI Number Information
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NPI Number | 1285505750
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Entity Type | Individual
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Provider Name | LORENA CRISTINA LEWIS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2020 PENNSYLVANIA AVE NW # 272
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City | WASHINGTON
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State | DC
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Zip | 20006-1811
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Country | US
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Telephone | 202-569-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 4325 GALLATIN ST # 14
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City | HYATTSVILLE
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State | MD
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Zip | 20781-2051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0730000803
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License Number State | VA
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