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NPI Code Detail

MEDICARE: MR. EUGENE J LEWIS JR. CRNP

MEDICARE: MR. EUGENE J LEWIS JR. CRNP
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
1363LA2100XAcute Care Nurse Practitioner363LA2200XPA
2363LA2200XAdult Health Nurse PractitionerUP-005801PA

General Provider Information

NPI Number : 1164538013
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EUGENE J LEWIS JR. CRNP
Provider Business Mailing Address
First Line : 353 N DUFFY RD
Second Line :
City : BUTLER
State : PA
Zip : 16001-1138
Country : US
Telephone Number : 878-271-6936
Fax Number :
Provider Business Practice Location Address
First Line : 1 UNIVERSITY AVE
Second Line : VA MEDICAL CENTER DELAFIELD ROAD
City : PITTSBURGH
State : PA
Zip : 15214-3817
Country : US
Telephone Number : 412-784-3537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 06/18/2020

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