Most Relevant Information
Provider Data
| NPI Number: | 1003005679 |
| Provider Name: | YVETTE RENEE DOUGLAS-LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 9601595 |
Most Important Dates
| Enumeration Date: | 10/19/2007 |
| Last Updated: | 10/29/2013 |
Provider Practice Location
163 CHRISTMAS RD
WARRENTON
NC
275898723
Practice Location Phone/Fax
| Phone: | 2522570372 |
| Fax: |
Provider Mailing Location
163 CHRISTMAS RD
WARRENTON
NC
275898723
Provider Mailing Phone/Fax
| Phone: | 2522570372 |
| Fax: |
Suggested EMR
Family Practice EMR