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Individual

SAMANTHA J LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-6196
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
F06171769
NE
363L00000X
Nurse Practitioner
SP018545
PA
363LF0000X
Family Nurse Practitioner
Primary
115916
NE
363LP2300X
Primary Care Nurse Practitioner
CNP251201
ME

Other

Enumeration date
10/25/2017
Last updated
07/22/2025
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