Individual
DIANA PATRICIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
629 AVENUE D, SNOHOMISH, WA 98290-2330
(360) 568-1554
(360) 568-1722
Mailing address
629 AVENUE D, SNOHOMISH, WA 98290-2330
(360) 568-1554
(360) 568-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00046221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8472193
—
WA
01
—
8860986
MEDICARE
WA
Enumeration date
01/27/2006
Last updated
10/22/2010
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