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Individual

DARA K LEE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
21 LONGWOOD AVE, BROOKLINE, MA 02446-5239
(617) 732-1318
(617) 734-5763
Mailing address
21 LONGWOOD AVE, BROOKLINE, MA 02446-5239
(617) 732-1318
(617) 734-5763

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20020342
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35722517
NM
Enumeration date
03/02/2007
Last updated
05/10/2013
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