Provider Demographics
NPI:1487821534
Name:LEWIS, KATHERINE ALTER (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ALTER
Last Name:LEWIS
Suffix:
Gender:F
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:ERWIN RD
Mailing Address - Street 2:DUMC 3935 DUKE NORTH ROOM 0681
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-2247
Mailing Address - Fax:
Practice Address - Street 1:ERWIN RD
Practice Address - Street 2:DUMC 3935 DUKE NORTH ROOM 0681
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC135646207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine