Individual
CHRISTINE G LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5346 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1230
(612) 823-3021
(612) 746-5518
Mailing address
5340 COLFAX AVE S, MINNEAPOLIS, MN 55419-1109
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0147991
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454718700
—
MN
Enumeration date
01/10/2007
Last updated
11/28/2016
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