Individual
LINDA J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-6265
(712) 225-6800
Mailing address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-6265
(712) 225-6800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001026
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53904
MEDICARE NON-BILLING NUMBER
IA
Enumeration date
06/17/2005
Last updated
12/01/2009
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