Individual
GINA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5900 E UNIVERSITY AVE, PLEASANT HILL, IA 50327-8457
(515) 643-2400
(515) 643-4766
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-4374
(515) 643-2784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A8870
CA
207Q00000X
Family Medicine Physician
Primary
3532
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX88700
—
CA
05
—
0400165
—
IA
01
—
161241
INTERPLAN
CA
01
—
1932415
GREAT WEST
CA
01
—
20A8870
BLUE CROSS
CA
01
—
2689213
UNITED HEALTHCARE
CA
01
—
70271
WELLMARK BLUE SHIELD
IA
01
—
90198225
PACIFICARE
CA
Enumeration date
11/04/2006
Last updated
02/12/2008
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