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Individual

BENJAMIN CHARLES LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
8 BENGAL DR, RAPID CITY, SD 57701-4317
(605) 490-1159

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R042289
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001119
SD

Other

Enumeration date
07/08/2022
Last updated
08/25/2022
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