Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | NC |
NPI | 1043219884 |
---|---|
Provider Name | Eliot Julian Lewit |
First Address | Greensboro, NC 27410-8387 |
Second Address | Greensboro, NC 27410-8387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B54574 | (02) |