Lewis Family Practice PC
Family Medicine in Media, PA. Organization (NPI-2).
NPI number1790795995
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790795995
- Entity type
- Organization (NPI-2)
- Legal business name
- Lewis Family Practice PC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD059944L | PA | Yes |
Practice location
1088 W Baltimore PikeSuite #2208
Media, PA 19063-5146
Phone 610-891-3049 · Fax 610-891-3919
Mailing address
1088 W Baltimore PikeSuite #2208
Media, PA 19063-5146
Phone 610-891-3049 · Fax 610-891-3919
Authorized official
Michele Miller
Manager
6108913905
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