Individual
KRISTIN L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4514
Mailing address
9920 BRIAR RD APT 330, BLOOMINGTON, MN 55437-3920
(952) 484-8644
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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