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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD035130 | DC | Y |   | Allopathic & Osteopathic Physicians | Pediatrics |   | 207RB0002X | MD035130 | DC | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Bariatric Medicine |
No ID Information.