Provider Demographics
NPI:1457535197
Name:LEWIS, ROCHUNDA PELMORE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ROCHUNDA
Middle Name:PELMORE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:1500 MATTHEWS TOWNSHIP PKWY
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4656
Mailing Address - Country:US
Mailing Address - Phone:704-384-6500
Mailing Address - Fax:336-768-9019
Practice Address - Street 1:1500 MATTHEWS TOWNSHIP PKWY
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4656
Practice Address - Country:US
Practice Address - Phone:704-384-6500
Practice Address - Fax:336-768-9019
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA3562367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered