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LEWIS-GALE PHYSICIANS LLC NPI 1184728503


NPI Information

NPI: 1184728503
Provider Name: LEWIS-GALE PHYSICIANS, LLC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 49D1005773

Address:
614 E MAIN ST
RADFORD, VA
ZIP 24141
Phone: (540) 639-2723
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LEWIS-GALE PHYSICIANS, LLC is an allergy allergy immunology in Radford, VA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee LEWIS-GALE PHYSICIANS, LLC NPI is 1184728503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

614 E MAIN ST
RADFORD, VA
ZIP 24141-786
Phone: (540) 639-2723
Fax: (540) 639-6805

The provider's authorized official is Otis W Blackwood .
The authorized official title is Practice Administrator and has the following contact phone number (540) 772-3672.

The CLIA number assigned to this NPI record is 49D1005773 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 8/22/2020.


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
1207KA0200XAllergy & ImmunologyAllergy0101048225VIRGINIAYes
2207W00000XOphthalmology0101044009VIRGINIAX

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

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