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DANA MARIE LEWIS D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1396717013

Individual Registrant:
 DANA MARIE LEWIS D.O.
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

Contact information for business:
373 E 10TH AVE  SPRINGFIELD, CO 81073-1622 US
Tel: 719-523-4501  Fax: 719-523-4290

Registration Information:
NPI: 1396717013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A7088
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CO53354

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
46401873CO05
00AX70880CA05




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