Provider Demographics
NPI:1194253146
Name:LEWIN, RACHEL LISA (DDS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LISA
Last Name:LEWIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-1517
Mailing Address - Country:US
Mailing Address - Phone:215-439-0888
Mailing Address - Fax:215-646-5135
Practice Address - Street 1:858 E WELSH RD STE 3
Practice Address - Street 2:
Practice Address - City:MAPLE GLEN
Practice Address - State:PA
Practice Address - Zip Code:19002-2942
Practice Address - Country:US
Practice Address - Phone:215-643-3755
Practice Address - Fax:215-646-5135
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0419741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice