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Individual

JAMES LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9200
(651) 290-9210
Mailing address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9200
(651) 290-9210

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33298
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037805400
MN
Enumeration date
09/28/2006
Last updated
02/02/2013
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