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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