Organization
LEWIS URGENT CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN RICADO LEWIS M.D. (CEO)
(952) 201-5354
Entity
Organization
Contact information
Practice address
3031 2ND AVE S, MINNEAPOLIS, MN 55408-2401
(952) 649-0587
Mailing address
3031 2ND AVE S, MINNEAPOLIS, MN 55408-2401
(952) 649-0587
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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