Provider Demographics
NPI:1144321050
Name:LEWIS, RICHARD FIELD III (PA)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:FIELD
Last Name:LEWIS
Suffix:III
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:309 W CLIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3709
Mailing Address - Country:US
Mailing Address - Phone:540-665-9404
Mailing Address - Fax:
Practice Address - Street 1:333 W CORK ST STE 290
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3870
Practice Address - Country:US
Practice Address - Phone:540-536-5123
Practice Address - Fax:540-536-3261
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002250363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0110002250OtherSTATE LICENSE