Individual
DR. JANE MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, 1E PWB, MINNEAPOLIS, MN 55455-0356
(612) 624-9422
Mailing address
420 DELAWARE ST SE, B435, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
036-115834
IL
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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