Individual
DR. RUSTY O LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8330 DAWSON CREEK BAY, LINCOLN, NE 68505-3614
(402) 325-6056
(402) 325-6058
Mailing address
8330 DAWSON CREEK BAY, LINCOLN, NE 68505-3614
(402) 325-6056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6666
NE
Other
Enumeration date
07/31/2006
Last updated
08/16/2011
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