Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 9098 | DC |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 9098 | DC |
NPI | 1003921313 |
---|---|
Provider Name | Dr. Randall Jeffrey Lewis |
First Address | Chevy Chase, MD 20815-6901 |
Second Address | Chevy Chase, MD 20815-6901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 19/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C87815 | (02) | DC |