Individual
DEKRISHA LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W MAIN ST, BOZEMAN, MT 59715-3356
(406) 556-5888
(406) 556-5889
Mailing address
711 W MAIN ST, BOZEMAN, MT 59715-3356
(406) 556-5888
(406) 556-5889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76240
MT
208000000X
Pediatrics Physician
76240
MT
Other
Enumeration date
04/03/2015
Last updated
04/07/2020
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