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NPI Code Detail

MEDICARE: DAVID LEWIS MD

MEDICARE: DAVID LEWIS MD
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
1207Q00000XFamily Medicine PhysicianMD072399LPA

General Provider Information

NPI Number : 1679554109
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEWIS MD
Provider Business Mailing Address
First Line : 760 CARPENTER LANE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119
Country : US
Telephone Number : 215-848-6880
Fax Number :
Provider Business Practice Location Address
First Line : 760 CARPENTER LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-3406
Country : US
Telephone Number : 215-848-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 04/13/2021

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Directions to “ DAVID LEWIS MD” Practice Location

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