Provider Demographics
NPI:1336314970
Name:CORWIN, JOSHUA LUCAS (PA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:LUCAS
Last Name:CORWIN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:602 PRIMITIVE ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1415 W NC HIGHWAY 54 STE 125
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5578
Practice Address - Country:US
Practice Address - Phone:919-578-2390
Practice Address - Fax:833-264-1971
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-03038363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical