MEDICARE: LEWIS HOFMANN

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
1	207Q00000X	Family Medicine Physician	MD-043-647-L	PA

General Provider Information

NPI Number	:	1194798785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEWIS HOFMANN

Provider Business Mailing Address
First Line	:	2427 KEMPER RD
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-2552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	WHITE HOUSE MEDICAL UNIT
Second Line	:	THE WHITE HOUSE
City	:	WASHINGTON
State	:	DC
Zip	:	20502-0001
Country	:	US
Telephone Number	:	202-757-2476
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/02/2011

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Directions to “ LEWIS HOFMANN ” Practice Location

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