Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 1900 | VI |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 09850R | LA |
NPI | 1295782647 |
---|---|
Provider Name | Dr. Janet E. Lewis |
First Address | St Thomas, VI 00802-3641 |
Second Address | St Thomas, VI 00802-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 30/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1491781 | (05) | LA |
5DK67 | MEDICARE PTAN (01) | LA |
G64923 | (02) | LA |