Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 018816 | ME |
N | 111NI0900X | Internist | 018816 | ME |
N | 207R00000X | Internist | 18257 | NH |
N | 111NI0900X | Internist | 18257 | NH |
N | 207RG0100X | Gastroenterologist | 018816 | ME |
Y | 207RG0100X | Gastroenterologist | 18257 | NH |
NPI | 1003075771 |
---|---|
Provider Name | Jennifer M Lewis |
First Address | Somersworth, NH 03878-4401 |
Second Address | Somersworth, NH 03878-4401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 17/03/2018 |