Individual
MARY B. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9633
(574) 722-5987
Mailing address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9633
(574) 722-5987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000994A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550574
ANTHEM BLUE CROSS
IN
05
—
200932700
—
IN
01
—
P00626250
RAILROAD MEDICARE
IN
Enumeration date
09/21/2007
Last updated
10/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us