Angela D Lewis Do Psc

NPI #1821398173 in Russell, Kentucky

Provider Information

NPI Number: 1821398173
Entity Type: Organization
Organization Name: Angela D Lewis Do Psc
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2010
Last Updated: Nov 2, 2010

Practice Location

Address: 1021 KENWOOD DR
City: Russell
State: Kentucky
ZIP Code: 41169-1527
Phone: (606) 836-1954

Authorized Official

Name: DR. ANGELA D LEWIS, DO
Title: OWNER
Phone: (606) 836-1954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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