Individual
SANDRA ELAINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
146 W DALE ST, SUITE 102, WATERLOO, IA 50703-1901
(319) 235-5050
(319) 235-5107
Mailing address
146 W DALE ST, SUITE 102, WATERLOO, IA 50703-1901
(319) 235-5050
(319) 235-5107
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
B-094080
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419200
—
IA
05
—
1419200
—
IA
05
—
2419200
—
IA
Enumeration date
12/29/2005
Last updated
02/06/2015
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