Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | OS009361L | PA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS009361L | PA |
NPI | 1427005735 |
---|---|
Provider Name | Dr. Steven Craig Lewis |
First Address | Narberth, PA 19072-1541 |
Second Address | Narberth, PA 19072-1541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 17/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016115760002 | (05) | PA |
G39036 | (02) | PA |