Provider Demographics
NPI:1457477085
Name:SOMMERVILLE, LEWIS CASS (MD)
Entity Type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:CASS
Last Name:SOMMERVILLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 HOLLY HILL DR
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9447
Mailing Address - Country:US
Mailing Address - Phone:828-667-1536
Mailing Address - Fax:
Practice Address - Street 1:93 HOLLY HILL DR
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9447
Practice Address - Country:US
Practice Address - Phone:828-667-1536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10299207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine