Angela Dawn Lewis, DO
Family Medicine in Russell, KY. Individual provider (NPI-1).
NPI number1710073580
StatusActive
Last updated in NPPESJan 5, 2011
Details
- NPI
- 1710073580
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Angela Dawn Lewis
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2006
- Last updated
- Jan 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | KY02545 | KY | Yes |
Practice location
1021 Kenwood DrRussell, KY 41169
Phone 606-836-1954 · Fax 606-836-3878
Mailing address
1021 Kenwood DrRussell, KY 41169
Phone 606-836-1954 · Fax 606-836-3878
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Other Family Medicine Physician providers in Russell, KY
- Angela D Lewis DO PscNPI 1821398173
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- Tri-State Healing Initiative LLCNPI 1841984036
All 6 Family Medicine Physician providers in Russell · All 70 providers in Russell
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