Individual
REBECCA C LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
17611 SOUTH MUSKOGEE AVE, TAHLEQUAH, OK 74464-0000
(918) 207-4911
(918) 458-6221
Mailing address
PO BOX 1426, SILOAM SPRINGS, AR 72761-1426
(479) 524-8552
(479) 524-8593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N8070
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8070
ARKANSAS LICENSE
AR
Enumeration date
03/23/2006
Last updated
03/09/2021
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