Provider Demographics
NPI:1295782647
Name:LEWIS, JANET E (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:E
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9160 ESTATE THOMAS
Mailing Address - Street 2:PMB 198
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-3641
Mailing Address - Country:US
Mailing Address - Phone:340-626-5433
Mailing Address - Fax:
Practice Address - Street 1:9150 ESTATE THOMAS STE 105
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2612
Practice Address - Country:US
Practice Address - Phone:340-626-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1900133N00000X, 171400000X, 207X00000X
LA09850R207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1491781Medicaid
LA5DK67OtherMEDICARE PTAN
LAG64923Medicare UPIN
LA1491781Medicaid