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Organization
DANA MARIE LEWIS, D.O., INC
Active
Organization
DANA MARIE LEWIS, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MARIE LEWIS D.O. (BUSINESS OWNER)
(530) 477-9100
Entity
Organization
Contact information
Practice address
10052 ALTA SIERRA DR, SUITE A, GRASS VALLEY, CA 95949-6886
(530) 477-9100
(530) 477-2033
Mailing address
10052 ALTA SIERRA DR, SUITE A, GRASS VALLEY, CA 95949-6886
(530) 477-9100
(530) 477-2033
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A7088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX70880
—
CA
Enumeration date
09/16/2006
Last updated
08/22/2020
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