Individual
SARA LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14000 NICOLLET AVE STE 100, BURNSVILLE, MN 55337
(952) 428-0200
(952) 428-0199
Mailing address
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC- HEART & VASCULAR CENTER, ST LOUIS PARK, MN 55426-4702
(952) 993-3360
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10953
MN
363AS0400X
Surgical Physician Assistant
1548
MN
Other
Enumeration date
05/09/2011
Last updated
06/22/2018
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