Individual
MRS. BARBRA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 OLD MCCLOUD RD, MOUNT SHASTA, CA 96067-2796
(530) 926-5100
(530) 926-1859
Mailing address
101 OLD MCCLOUD RD, MOUNT SHASTA, CA 96067-2796
(530) 926-5100
(530) 926-1859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
503773
CA
Other
Enumeration date
08/25/2006
Last updated
03/03/2008
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