Individual
DR. RILEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 612-6242
Mailing address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
R581
MN
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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