Provider Demographics
NPI:1518086131
Name:LEWIS, AMY (DAC, DIPL AC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12324 WOODWALK TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-4206
Mailing Address - Country:US
Mailing Address - Phone:240-461-1384
Mailing Address - Fax:
Practice Address - Street 1:1625 K ST NW STE 375
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1679
Practice Address - Country:US
Practice Address - Phone:022-822-1711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01364171100000X
DCAC500041171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist