NPI Search for Physicians and Health Care Providers
AMANDA L LEWIS PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1801997226
Individual Registrant:
AMANDA L LEWIS PA-C
Gender: F
Not Sole Proprietor
Location and contact information for practice:
103 CHICO CT MONTE VISTA, CO 81144-1065 US
Tel: 719-852-9400 Fax: --
Contact information for business:
310 COUNTY ROAD 14 DEL NORTE, CO 81132-8719 US
Tel: 719-657-4102 Fax: 719-657-4106
Registration Information:
NPI: 1801997226
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
| CO | 4185 |
N | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | AZ | 2181 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 851148 | AZ | 05 |
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