Provider Demographics
NPI:1255391868
Name:LEWIS-YOUNGER, CYNTHIA RHEA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:RHEA
Last Name:LEWIS-YOUNGER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:RHEA
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:121 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-7222
Mailing Address - Country:US
Mailing Address - Phone:813-321-9776
Mailing Address - Fax:813-246-4654
Practice Address - Street 1:121 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671
Practice Address - Country:US
Practice Address - Phone:813-321-9776
Practice Address - Fax:813-246-4654
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000403642083T0002X, 208D00000X, 2083X0100X
ORMD1732592083T0002X, 2083X0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACA7094OtherMEDICARE TRAVELERS GA
FL650622862043OtherCHAMPUS-TRICARE
FL055237201Medicaid
FL34577OtherBS FL
GACA7094OtherMEDICARE TRAVELERS GA