Provider Demographics
NPI:1356304836
Name:LEWIS-RAGLAND, YOLANDA ANITA (MD)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:ANITA
Last Name:LEWIS-RAGLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:ANITA
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3409 21ST ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6108
Mailing Address - Country:US
Mailing Address - Phone:202-610-1362
Mailing Address - Fax:
Practice Address - Street 1:5801 FARRELL RD
Practice Address - Street 2:DEWITT ARMY COMMUNITY HOSPITAL
Practice Address - City:FT. BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060
Practice Address - Country:US
Practice Address - Phone:703-805-0642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035130208000000X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine