Individual
REBECCA LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-1234
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10657
MN
Other
Enumeration date
08/11/2009
Last updated
05/02/2011
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