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LEWIS PRIMARY CARE P.A. NPI 1639619224


NPI Information

NPI: 1639619224
Provider Name: LEWIS PRIMARY CARE, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

CLIA Number: 21D2129923

Address:
1324 BELMONT AVE
UNIT 103
SALISBURY, MD
ZIP 21804
Phone: (443) 978-7383
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LEWIS PRIMARY CARE, P.A. is a medical physician assistant in Salisbury, MD. LEWIS PRIMARY CARE, P.A. NPI is 1639619224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1324 BELMONT AVE
UNIT 103
SALISBURY, MD
ZIP 21804-584
Phone: (443) 978-7383
Fax: (443) 978-7598

The provider's authorized official is Vincent Walter Lewis .
The authorized official title is Owner and has the following contact phone number (443) 978-7383.

The CLIA number assigned to this NPI record is 21D2129923 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 4/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.