Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | James J. Lewis | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | License No: R177906 | [sources] | |||
First name | James J. | [sources] | |||
Last name | Lewis | [sources] | |||
NPI | 1285988147 | [sources] | |||
Sector | Nurse | [sources] | |||
Address | 22 South Greene Street, Baltimore MD 21201 | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
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Country | Authority | Program | Start date | End date | |
United States of America | Maryland Department of Health | - |