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NPI Code Detail

MEDICARE: MS. ABIGAIL VAN NORT LEWIS

MEDICARE:  MS. ABIGAIL VAN NORT LEWIS
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
1225700000XMassage Therapist0019012358VA

General Provider Information

NPI Number : 1720233794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ABIGAIL VAN NORT LEWIS
Provider Business Mailing Address
First Line : 3620 NOBLE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23222-1834
Country : US
Telephone Number : 804-363-4686
Fax Number :
Provider Business Practice Location Address
First Line : 3620 NOBLE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23222-1834
Country : US
Telephone Number : 804-363-4686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2008
Last Update Date : 03/23/2026

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Directions to “ MS. ABIGAIL VAN NORT LEWIS ” Practice Location

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