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NPI Code Detail

MEDICARE: JOANN LEWIS-NIXON

MEDICARE: JOANN LEWIS-NIXON
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
1235Z00000XSpeech-Language Pathologist2203000229VA

General Provider Information

NPI Number : 1376912907
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN LEWIS-NIXON
Provider Business Mailing Address
First Line : 1403 PEABODY DR
Second Line :
City : HAMPTON
State : VA
Zip : 23666-2436
Country : US
Telephone Number : 757-286-6365
Fax Number :
Provider Business Practice Location Address
First Line : 1403 PEABODY DR
Second Line :
City : HAMPTON
State : VA
Zip : 23666-2436
Country : US
Telephone Number : 757-286-6365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2015
Last Update Date : 09/24/2015

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Directions to “ JOANN LEWIS-NIXON ” Practice Location

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