| Angel Lewis | |
|
4652 Riverstone Dr Owings Mills MD 21117-7029 | |
| (240) 432-3736 | |
| Not Available |
| Full Name | Angel Lewis |
|---|---|
| Speciality | Case Management |
| Location | 4652 Riverstone Dr, Owings Mills, Maryland |
| Authorized Official Name and Position | Angel Lewis (OWNER) |
| Authorized Official Contact | 2404323736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Lewis Po Box 940 Randallstown MD 21133-0940 Ph: () - | Angel Lewis 4652 Riverstone Dr Owings Mills MD 21117-7029 Ph: (240) 432-3736 |
| NPI Number | 1154919223 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154919223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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