Individual
DUSTIN JAMES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
691 MARAGLIA ST STE C, REDDING, CA 96002-1029
(530) 222-3287
(530) 222-8547
Mailing address
691 MARAGLIA ST STE C, REDDING, CA 96002-1029
(530) 605-4680
(530) 605-4680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP20860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP20860
FNP LICENSE
CA
Enumeration date
08/09/2011
Last updated
10/27/2023
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