Individual
KRISTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E WATERLOO RD, EDMOND, OK 73034-8196
(405) 715-2000
(405) 715-2010
Mailing address
301 E WATERLOO RD, EDMOND, OK 73034-8196
(405) 715-2000
(405) 715-2010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28624
OK
208000000X
Pediatrics Physician
28623
OK
Other
Enumeration date
06/06/2011
Last updated
04/29/2019
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