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NPI Code Detail

MEDICARE: MRS. CORRINE A LEWIS PA-C

MEDICARE: MRS. CORRINE A LEWIS PA-C
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
1363A00000XPhysician Assistant0010-03145NC

General Provider Information

NPI Number : 1386914943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORRINE A LEWIS PA-C
Provider Business Mailing Address
First Line : 3411 SILVERSIDE RD STE 100
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4811
Country : US
Telephone Number : 302-543-5454
Fax Number : 302-202-3131
Provider Business Practice Location Address
First Line : 3411 SILVERSIDE RD STE 100
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4811
Country : US
Telephone Number : 302-543-5454
Fax Number : 302-327-4200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2012
Last Update Date : 04/08/2025

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Directions to “ MRS. CORRINE A LEWIS PA-C” Practice Location

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