MEDICARE: CAROLINE LEWIS PA

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	363A00000X	Physician Assistant		NC

General Provider Information

NPI Number	:	1427574920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE LEWIS PA

Provider Business Mailing Address
First Line	:	100 CUNNINGHAM LN
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-3923
Country	:	US
Telephone Number	:	919-359-6016
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CUNNINGHAM LN
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-3923
Country	:	US
Telephone Number	:	919-359-6016
Fax Number	:

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

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	06/04/2025

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Directions to “ CAROLINE LEWIS PA” Practice Location

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