Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | MA048738 | NJ |
Y | 207RX0202X | Medical Oncology | MD062407L | PA |
NPI | 1134140841 |
---|---|
Provider Name | Dr. Nancy Lynn Lewis |
First Address | Philadelphia, PA 19107-4216 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 16/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001808114 | (05) | PA |
8246009 | (05) | NJ |
H19764 | (02) | PA |