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Individual

LEWIS BRASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 282-2334
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 282-2334

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-12576
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/12/2022
Last updated
04/16/2025
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