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DANA MARIE LEWIS D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1396717013
Individual Registrant: DANA MARIE LEWIS D.O.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
900 CHURCH ST SPRINGFIELD, CO 81073-1636 US
Tel: 719-523-6628 Fax: 719-523-4513
Tel: 719-523-6628 Fax: 719-523-4513
Contact information for business:
373 E 10TH AVE SPRINGFIELD, CO 81073-1622 US
Tel: 719-523-4501 Fax: 719-523-4290
Tel: 719-523-4501 Fax: 719-523-4290
Registration Information:
NPI: 1396717013
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | 20A7088 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CO | 53354 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 46401873 | CO | 05 | |
| 00AX70880 | CA | 05 |
