Provider Demographics
NPI:1407162068
Name:PAULEY, LEWIS HUTCHISON (DC)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:HUTCHISON
Last Name:PAULEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13885 HEDGEWOOD DR
Mailing Address - Street 2:SUITE 333
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-7928
Mailing Address - Country:US
Mailing Address - Phone:304-634-9198
Mailing Address - Fax:
Practice Address - Street 1:13885 HEDGEWOOD DR
Practice Address - Street 2:SUITE 333
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-7928
Practice Address - Country:US
Practice Address - Phone:304-634-9198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor