Individual
DANIELLE ELIZABETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
38259
OK
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/22/2020
Last updated
08/09/2021
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