IndividualActive
Demetrius Lewis
NPI 1295093086 · Nursing Home Administrator · Columbus, GA
Provider details
- NPI number
- 1295093086
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LPN052272 (GA)
Mailing address
1314 Pagoda Dr
Columbus, GA 31907-4439
Registry dates
- Enumerated
- 2012-04-30
- Last updated
- 2012-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.