Provider Demographics
NPI:1750729059
Name:LEWIS, CAROLINE MARCHAND (DO)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MARCHAND
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2076 HWY 42W
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520
Mailing Address - Country:US
Mailing Address - Phone:919-550-3334
Mailing Address - Fax:919-550-3338
Practice Address - Street 1:2076 HWY 42W
Practice Address - Street 2:SUITE 250
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520
Practice Address - Country:US
Practice Address - Phone:919-550-3334
Practice Address - Fax:919-550-3338
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2017-00632207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology