Individual
LEWIS JAMES PERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R2068529
MN
390200000X
Student in an Organized Health Care Education/Training Program
183387
CO
Other
Enumeration date
12/23/2011
Last updated
10/09/2012
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