Basic Information
Provider Information
NPI: 1356304836
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEWIS-RAGLAND
FirstName: YOLANDA
MiddleName: ANITA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LEWIS
OtherFirstName: YOLANDA
OtherMiddleName: ANITA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3409 21ST ST SE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200206108
CountryCode: US
TelephoneNumber: 2026101362
FaxNumber:  
Practice Location
Address1: 5801 FARRELL RD
Address2: DEWITT ARMY COMMUNITY HOSPITAL
City: FT. BELVOIR
State: VA
PostalCode: 22060
CountryCode: US
TelephoneNumber: 7038050642
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/07/2006
LastUpdateDate: 01/21/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD035130DCY Allopathic & Osteopathic PhysiciansPediatrics 
207RB0002XMD035130DCN Allopathic & Osteopathic PhysiciansInternal MedicineBariatric Medicine

No ID Information.


Home