Individual
EMILIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 S 8TH ST, MINNEAPOLIS, MN 55404
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12744
MN
Other
Enumeration date
06/18/2018
Last updated
07/31/2018
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