Provider Demographics
NPI:1639641608
Name:LEWTER, TAMEKA OCTAVIA-MARIE
Entity Type:Individual
Prefix:MS
First Name:TAMEKA
Middle Name:OCTAVIA-MARIE
Last Name:LEWTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 RIDGE RD SE APT 201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-3077
Mailing Address - Country:US
Mailing Address - Phone:202-506-5593
Mailing Address - Fax:
Practice Address - Street 1:1134 MORSE ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3806
Practice Address - Country:US
Practice Address - Phone:202-388-3582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-01
Last Update Date:2019-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant