Individual
DENISE M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1540 RANDOLPH AVENUE, ST PAUL, MN 55105
(651) 699-8333
(651) 699-9257
Mailing address
2025 SLOAN PLACE, SUITE 35, ST PAUL, MN 55117
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30140
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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