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NPI Code Detail

MEDICARE: DR. ALICE LEWIS AUD

MEDICARE: DR. ALICE LEWIS AUD
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
1231H00000XAudiologist7578NC
2237600000XAudiologist-Hearing Aid Fitter1243NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14484754OTHERCIGNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31618HOTHERNCBCBSNC
430109912OTHERSCSELECT HEALTH OF SC
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
69670290OTHERAENTA

General Provider Information

NPI Number : 1992977144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICE LEWIS AUD
Provider Business Mailing Address
First Line : 6338 DOVEFIELD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8790
Country : US
Telephone Number : 980-343-5455
Fax Number :
Provider Business Practice Location Address
First Line : 4421 STUART ANDREW BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1589
Country : US
Telephone Number : 980-343-6960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2008
Last Update Date : 04/20/2026

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