Provider Demographics
NPI:1417982570
Name:LEWIS, JANET LEE (CNM)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LEE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 S 44TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3908
Mailing Address - Country:US
Mailing Address - Phone:215-222-3772
Mailing Address - Fax:215-249-3786
Practice Address - Street 1:809 N BETHLEHEM PIKE
Practice Address - Street 2:BUILDING B UNIT A-2
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2534
Practice Address - Country:US
Practice Address - Phone:215-249-9646
Practice Address - Fax:215-249-3786
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010031176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife