Provider Demographics
NPI:1629885389
Name:COVINGTON-LEWIS, DENISE
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:COVINGTON-LEWIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:COVINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 O ST SW APT 24
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2934
Mailing Address - Country:US
Mailing Address - Phone:202-487-2670
Mailing Address - Fax:
Practice Address - Street 1:219 O ST SW APT 24
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2934
Practice Address - Country:US
Practice Address - Phone:202-487-2670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1555531OtherDRIVER LICENSE