Provider Demographics
NPI:1447145479
Name:LEWIS MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:LEWIS MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LASHAUNE
Authorized Official - Middle Name:PRATRICE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-503-3156
Mailing Address - Street 1:609 H ST NE FL 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7184
Mailing Address - Country:US
Mailing Address - Phone:202-503-3156
Mailing Address - Fax:202-403-2330
Practice Address - Street 1:609 H ST NE FL 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7184
Practice Address - Country:US
Practice Address - Phone:202-503-3156
Practice Address - Fax:202-403-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies