Provider Demographics
NPI:1750464889
Name:LEWES FAMILY PRACTICE P.A.
Entity Type:Organization
Organization Name:LEWES FAMILY PRACTICE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KIRKLAND
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-645-2281
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-0786
Mailing Address - Country:US
Mailing Address - Phone:302-645-2281
Mailing Address - Fax:
Practice Address - Street 1:1305 SAVANNAH RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1514
Practice Address - Country:US
Practice Address - Phone:302-645-2281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4829OtherRAILROAD MEDICARE
0745388000OtherAMERIHEALTH
LV69OtherCAREFIRST BLUE CROSS
DE0000205002Medicaid