Provider Demographics
NPI:1841980612
Name:LEWIS, FAYE L (EDD)
Entity type:Individual
Prefix:PROF
First Name:FAYE
Middle Name:L
Last Name:LEWIS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3861
Mailing Address - Country:US
Mailing Address - Phone:908-635-4606
Mailing Address - Fax:
Practice Address - Street 1:2 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-3861
Practice Address - Country:US
Practice Address - Phone:908-635-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care