Provider Demographics
NPI:1891134219
Name:LEWIS, ADAM B (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:B
Last Name:LEWIS
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 1:8245 BOONE BLVD STE 540
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3847
Mailing Address - Country:US
Mailing Address - Phone:813-220-4845
Mailing Address - Fax:
Practice Address - Street 1:8245 BOONE BLVD STE 540
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3847
Practice Address - Country:US
Practice Address - Phone:813-220-4845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD880462084N0400X
VA0101257393208D00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice